阿片类药物在初次人工全关节置换术中的应用：2020 AAHKS／ASRA／AAOS／THS／TKS临床实践指南解读.pdfVIP

阿片类药物在初次人工全关节置换术中的 应用：2020 AAHKS/ASRA/AAOS/THS/ TKS 临床实践指南解读 1, 2, 3 2, 3 △ 2, 3 张帅 ，孔祥朋 ，柴伟 1. 解放军医学院（北京  100853 ） 2. 解放军总医院第四医学中心骨科医学部（北京  100048 ） 3. 国家骨科与运动康复临床医学研究中心（北京  100853 ） 【摘要】   2020 年，美国髋关节和膝关节外科医师学会（AAHKS ）、美国区域麻醉和疼痛医学学会（ASRA ）、 美国骨科医师学会（AAOS ）、美国髋关节协会（THS ）、美国膝关节协会（TKS ）联合制定了在初次人工全关节置换 术（total joint arthroplasty ，TJA ）中使用阿片类药物的临床实践指南。该指南针对阿片类药物在初次TJA 中与有 效性和安全性相关的一些常见且重要问题制定了推荐意见。本文对该指南进行解读，以期为临床医师的治疗决策提供 帮助。 【关键词】   阿片类药物；人工全关节置换术；多模式镇痛 Opioids in primary total joint arthroplasty: Interpretation of 2020 AAHKS/ASRA/AAOS/ THS/TKS clinical practice guidelines ZHANG Shuai1, 2, 3, KONG Xiangpeng2, 3 , CHAI Wei2, 3 1. Medical School of Chinese PLA, Beijing, 100853, P.R.China 2. Senior Department of Orthopedics, the Forth Medical Center of Chinese PLA General Hospital, Beijing, 100048, P.R.China 3. National Clinical Research Center for Orthopedics, Sports Medicine Rehabilitation, Beijing, 100853, P.R.China Corresponding author: CHAI Wei, Email: chaiwei301@163.com 【Abstract 】 In 2020, the American Association of Hip and Knee Surgeons (AAHKS), the American Society of Regional Anesthesia and Pain Medicine (ASRA), the American Academy of Orthopaedic Surgeons (AAOS), the American Hip Society (THS), the American Knee Society (TKS) have worked together to develop clinical practice guidelines on the use of Opioids in primary total joint arthroplasty (TJA). This clinical practice guideline formulates recommendations for common and important questions related to the efficacy and safety of Opioids in primary TJA. This article interprets the guideline to help doctors make clinical decisions. 【Key words 】 Opioids; total joint arthroplasty; multimodal analgesia Foundation items: National Natural Science Foundation of China ; Medical Big Data and Artificial Intelligence Research and Development Project of Chinese PLA General Hospital (2019MDA-041) 人工全关节置换术（total joint arthroplasty