全膝关节置换术后加速康复的关键要素：对术后加速康复指南的再分析。
Key Elements of Enhanced Recovery after Total Joint Arthroplasty: A Reanalysis of the Enhanced Recovery after Surgery Guidelines.
机构信息
Department of Orthopaedics Surgery, West China Hospital, Sichuan University, Chengdu, China; Department of Orthopedics, The First Affiliated Hospital of Shandong First Medical University & Shandong Provincial Qianfoshan Hospital, Jinan, China.
Department of Orthopedics, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan, China.
出版信息
Orthop Surg. 2023 Mar;15(3):671-678. doi: 10.1111/os.13623. Epub 2023 Jan 3.
Recent guidelines have produced a consensus statement for perioperative care in hip and knee replacement. However, there is still a need for reanalysis of the evidence and recommendations. Therefore, we retrieved and reanalyzed the evidence of each recommended components of enhanced recovery after surgery (ERAS) based on the guidelines of total joint arthroplasty. For each one, we included for the highest levels of evidence and those systematic reviews and meta-analyses were preferred. The full texts were analyzed and the evidence of all components were summarized. We found that most of the recommended components of ERAS are supported by evidence, however, the implementation details of each recommended components need to be further optimized. Therefore, implementation of a full ERAS program may maximize the benefits of our clinical practice but this combined effect still needs to be further determined.
最近的指南已经就髋关节和膝关节置换的围手术期护理达成了共识声明。然而，仍然需要重新分析证据和建议。因此，我们根据全关节置换术的指南检索并重新分析了每个增强术后恢复（ERAS）推荐组件的证据。对于每一个，我们都包括了最高水平的证据，并且优先考虑了系统评价和荟萃分析。分析了全文并总结了所有组件的证据。我们发现，ERAS 的大多数推荐组件都有证据支持，但是，每个推荐组件的实施细节都需要进一步优化。因此，实施完整的 ERAS 方案可能会最大限度地提高我们临床实践的益处，但这种综合效果仍需要进一步确定。
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