急性脊髓损伤围手术期处理的临床指南

中华创伤杂志 Pub Date : 2019-07-15 DOI:10.3760/CMA.J.ISSN.1001-8050.2019.07.001

Disease Prevention

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引用次数: 1

摘要

急性脊髓损伤的发生率逐年上升，但仍缺乏围手术期处理的临床指导方针。为了对急性脊髓损伤的围手术期进行规范化管理，中国预防医学委员会脊髓损伤疾病预防学会脊髓疾病预防控制组和基础研究组的专家们，中国康复医学会脊髓专业委员会根据实用、科学的原则，在查阅国内外文献、讨论、投票的基础上，制定了本指南。本指南重点介绍了急性脊髓损伤的12个围手术期管理问题，涉及入院评估、入院诊断、并发症管理、术前准备、手术指征、时机选择、手术方式选择、并发症处理、疼痛管理、药物治疗、快速康复和护理。本指南以循证医学为基础，旨在为急性脊髓损伤后的围手术期管理提供科学建议，以有效改善脊髓损伤的手术治疗和预后。关键词：脊髓损伤；围手术期护理；实践指南

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Clinical guideline for perioperative management of acute spinal cord injury

The incidence of acute spinal cord injury is increasing year by year, but there still lacks clinical guideline for perioperative management. In order to provide a standardized management for the perioperative period of acute spinal cord injury, the specialists from Spinal Disease Prevention and Control Group, Spinal Cord Injury Disease Prevention Society of Chinese Preventive Medicine Committee and Basic Research Group, Spinal Cord Committee of Chinese Society of Rehabilitation Medicine have developed a guideline after retrieval of domestic and foreign literature, discussion and voting on the basis of practical and scientific principles. This guideline focuses on 12 perioperative management issues of acute spinal cord injury, involving admission evaluation, admission diagnosis, complications management, preoperative preparation, surgical indication, timing selection, surgical mode selection, complications management, pain management, drug treatment, rapid rehabilitation and nursing care. Based on evidence-based medicine, the aim of this guideline is to provide scientific advices for perioperative management after acute spinal cord injury so as to effectively improve the surgical treatment and prognosis of spinal cord injury. Key words: Spinal cord injuries; Perioperative care; Practice guideline

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来源期刊

中华创伤杂志

自引率

0.00%

发文量

11327

期刊介绍： Chinese Journal of Trauma (International Standard Serial Publication Number: ISSN 1001-8050, Domestic Uniform Serial Publication Number: CN 50-1098/R) was founded in September 1985, which is the only high-level medical professional academic journal that can comprehensively and systematically reflect the achievements and development trends of China's traumatology medicine, and has a wide academic influence in China's traumatology medicine community. It has a wide range of academic influence in China's trauma medicine. Chinese Journal of Trauma is a source journal of China Science and Technology Paper Statistics, a source journal of China Science Citation Database (CSCD), a core journal of China Comprehensive Medicine and Health Care, a source journal of China Academic Journals Comprehensive Evaluation Database (CAJCED), a full-text journal of China Journal Full-text Database (CJFD), a core academic journal of China Center for Scientific Evaluation (RCCSE), a core academic journal of China Traumatology and Traumatology Center (CTC), a core academic journal of China Traumatology Center (RCCSE). RCCSE) core academic journals; Chinese Biomedical Journal Database (CMCC), Chinese Biomedical Journal Citation Database (CBJCED), China Journal Network (CJN), China Academic Journals (CD-ROM), Chinese Academic Journals Abstracts (Chinese Edition), Chemical Abstracts of the United States (CA), Index Copernicus of Poland (IC), and Japan Institute of Science and Technology Database (JICST), World Health Organization Western Pacific Region Medical Search (WPRIM) and Russian Journal of Abstracts (ΡЖ) included journals.