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[Opioids in primary total joint arthroplasty: Interpretation of 2020 AAHKS/ASRA/AAOS/THS/TKS clinical practice guidelines].[初次全关节置换术中的阿片类药物：2020年美国髋膝关节外科医师协会/美国区域麻醉与疼痛医学学会/美国矫形外科医师学会/髋关节学会/膝关节学会临床实践指南解读]
Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2021 Nov 15;35(11):1396-1402. doi: 10.7507/1002-1892.202103090.
2
Ketamine in Total Joint Arthroplasty: The Clinical Practice Guidelines of the American Association of Hip and Knee Surgeons, American Society of Regional Anesthesia and Pain Medicine, American Academy of Orthopaedic Surgeons, Hip Society, and Knee Society.氯胺酮在全关节置换术中的应用：美国髋膝关节外科医生协会、美国区域麻醉与疼痛医学学会、美国矫形外科医师学会、髋关节协会和膝关节协会的临床实践指南
J Arthroplasty. 2022 Sep;37(9):1688-1690. doi: 10.1016/j.arth.2022.02.122.
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The Efficacy and Safety of Opioids in Total Joint Arthroplasty: Systematic Review and Direct Meta-Analysis.关节置换术后使用阿片类药物的疗效和安全性：系统评价和直接荟萃分析。
J Arthroplasty. 2020 Oct;35(10):2759-2771.e13. doi: 10.1016/j.arth.2020.05.032. Epub 2020 May 27.

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A randomized controlled study of a psycho-behavioral intervention combined with a non-benzodiazepine to improve perioperative sleep quality in patients undergoing knee arthroplasty.一项关于心理行为干预联合非苯二氮䓬类药物改善膝关节置换术患者围手术期睡眠质量的随机对照研究。
Front Surg. 2023 Jul 14;10:1113577. doi: 10.3389/fsurg.2023.1113577. eCollection 2023.

本文引用的文献

1
Opioids in Total Joint Arthroplasty: The Clinical Practice Guidelines of the American Association of Hip and Knee Surgeons, American Society of Regional Anesthesia and Pain Medicine, American Academy of Orthopaedic Surgeons, Hip Society, and Knee Society.全关节置换术中的阿片类药物：美国髋膝关节外科医生协会、美国区域麻醉与疼痛医学学会、美国矫形外科医师学会、髋关节协会和膝关节协会的临床实践指南
J Arthroplasty. 2020 Oct;35(10):2709-2714. doi: 10.1016/j.arth.2020.05.034. Epub 2020 May 26.
2
The Efficacy and Safety of Opioids in Total Joint Arthroplasty: Systematic Review and Direct Meta-Analysis.关节置换术后使用阿片类药物的疗效和安全性：系统评价和直接荟萃分析。
J Arthroplasty. 2020 Oct;35(10):2759-2771.e13. doi: 10.1016/j.arth.2020.05.032. Epub 2020 May 27.
3
Anesthesia and Analgesia Practices in Total Joint Arthroplasty: A Survey of the American Association of Hip and Knee Surgeons Membership.全膝关节置换术中的麻醉与镇痛实践：对美国髋关节和膝关节外科医师协会会员的调查。
J Arthroplasty. 2019 Dec;34(12):2872-2877.e2. doi: 10.1016/j.arth.2019.06.055. Epub 2019 Jul 8.
4
The James A. Rand Young Investigator's Award: Large Opioid Prescriptions Are Unnecessary After Total Joint Arthroplasty: A Randomized Controlled Trial.詹姆斯·A·兰德青年研究者奖：全膝关节置换术后大剂量开具阿片类药物是不必要的：一项随机对照试验。
J Arthroplasty. 2019 Jul;34(7S):S4-S10. doi: 10.1016/j.arth.2019.01.065. Epub 2019 Feb 4.
5
The 2018 Chitranjan S. Ranawat, MD Award: Developing and Implementing a Novel Institutional Guideline Strategy Reduced Postoperative Opioid Prescribing After TKA and THA.2018 年 Chitranjan S. Ranawat，医学博士奖：制定和实施新的机构指南策略，减少 TKA 和 THA 后的术后阿片类药物处方。
Clin Orthop Relat Res. 2019 Jan;477(1):104-113. doi: 10.1007/s11999.0000000000000292.
6
The interaction of depression and prior opioid use on pain and opioid requirements after total joint arthroplasty.全关节置换术后抑郁与既往阿片类药物使用对疼痛及阿片类药物需求的相互作用。
Arthroplast Today. 2018 Aug 6;4(4):464-469. doi: 10.1016/j.artd.2018.07.002. eCollection 2018 Dec.
7
Preoperative opioid medication use negatively affect health related quality of life after total knee arthroplasty.术前使用阿片类药物会对全膝关节置换术后与健康相关的生活质量产生负面影响。
Knee. 2018 Oct;25(5):946-951. doi: 10.1016/j.knee.2018.07.001. Epub 2018 Aug 11.
8
Trends in Opioid Utilization Before and After Total Knee Arthroplasty.全膝关节置换术前和术后阿片类药物使用趋势。
J Arthroplasty. 2018 Jul;33(7S):S147-S153.e1. doi: 10.1016/j.arth.2017.10.060. Epub 2017 Nov 14.
9
Risk for Prolonged Opioid Use Following Total Knee Arthroplasty in Veterans.退伍军人全膝关节置换术后长期阿片类药物使用的风险。
J Arthroplasty. 2018 Jan;33(1):119-123. doi: 10.1016/j.arth.2017.08.022. Epub 2017 Aug 24.
10
Impact of Preoperative Opioid Use on Total Knee Arthroplasty Outcomes.术前使用阿片类药物对全膝关节置换术结果的影响。
J Bone Joint Surg Am. 2017 May 17;99(10):803-808. doi: 10.2106/JBJS.16.01200.

[初次全关节置换术中的阿片类药物：2020年美国髋膝关节外科医师协会/美国区域麻醉与疼痛医学学会/美国矫形外科医师学会/髋关节学会/膝关节学会临床实践指南解读]

[Opioids in primary total joint arthroplasty: Interpretation of 2020 AAHKS/ASRA/AAOS/THS/TKS clinical practice guidelines].

作者信息

Zhang Shuai, Kong Xiangpeng, Chai Wei

机构信息

Medical School of Chinese PLA, Beijing, 100853, P.R.China.

Senior Department of Orthopedics, the Forth Medical Center of Chinese PLA General Hospital, Beijing, 100048, P.R.China.

出版信息

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2021 Nov 15;35(11):1396-1402. doi: 10.7507/1002-1892.202103090.

DOI:10.7507/1002-1892.202103090
PMID:34779164
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8586767/
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.

摘要

2020年，美国髋膝关节外科医生协会（AAHKS）、美国区域麻醉与疼痛医学学会（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）共同制定了关于原发性全关节置换术（TJA）中使用阿片类药物的临床实践指南。该临床实践指南针对原发性TJA中阿片类药物有效性和安全性相关的常见且重要问题制定了建议。本文对该指南进行解读，以帮助医生做出临床决策。