| 标题： | 肢体创伤后水肿管理指南（2024版） |
| title： | Guidelines for the management of edema after limb trauma 2024 |
| 版本： | 原创版 |
| version： | Original |
| 分类： | 标准指南 |
| classification： | Standard guideline |
| 领域： | 综合 |
| field： | Comprehensive guideline |
| 国家和地区： | 中国 |
| Country and region： | China |
| 指南使用者： | 骨科、运动医学、康复医学、急诊等从业人员 |
| Guide users： | Orthopedic doctor, sports medicine doctor, rehabilitation medicine doctor, emergency doctor, etc. |
| 证据分级方法： | 本指南将采用GRADE分级系统与德尔菲专家共识法相结合的方法进行证据分级。 |
| Evidence grading method： | This guideline will use a combination of the GRADE grading system and the Delphi expert consensus method for evidence grading. |
| 制定单位： | 中华医学会骨科学分会创伤骨科学组 中国医师协会骨科分会外固定与肢体重建学组 中国医师协会创伤外科医师分会骨与关节损伤学组 |
| Formulating unit： | Traumatic Orthopaedics Group, Society of Orthopaedics, Chinese Medical Association; Group of External Fixation and Limb Reconstruction, Society of Orthopaedics, Chinese Medical Association; Group of Bone and Joint Injury，Society of Traumatic Surgeons, Association of Chinese Doctors |
| 注册时间： | 2024-10-14 |
| Registration time： | |
| 注册编号： | PREPARE-2024CN813 |
| Registration number： | |
| 指南制订的目的： | 创伤是指各种外力或机械性因素作用于人体所造成的组织结构完整性的破坏或功能障碍。其中，发生在上肢或下肢的创伤称为肢体创伤，包括医源性创伤和非医源性创伤，医源性创伤包括骨和关节手术，非医源性创伤主要由于外来暴力或自身病理性损伤导致肢体组织连续性和完整性遭到部分或完全破坏，如骨折、关节脱位、开放性损伤等类型。肢体创伤导致局部血管、肌肉、神经受损，易发生局部水肿。此外，水肿也是肢体创伤康复期间的常见并发症，若处理不当可能会导致关节功能障碍、肌肉萎缩、神经损伤等严重后果。 随着我国经济快速增长，道路交通和建筑行业持续发展，创伤发病率不断升高，其中作为肢体创伤中常见的损伤之一，骨折在我国人群中发生率约为3.21‰。尽管当前临床上水肿管理手段日渐增多，但缺乏针对肢体创伤后水肿管理标准化、规范化指导标准。鉴于此，中华医学会骨科学分会创伤骨科学组、中国医师协会骨科分会外固定与肢体重建学组、中国医师协会创伤外科医师分会骨与关节损伤学组联合相关学科专家成立指南编写专家委员会，结合国内外最新的循证医学证据和临床经验，制订本指南，以期为骨科、运动医学、康复医学、急诊等从业人员在肢体创伤后水肿管理方面提供循证依据和实践参考，促进水肿规范化管理和治疗。 |
| Purpose of the guideline： | Trauma refers to the destruction or dysfunction of organizational structure integrity caused by various external forces or mechanical factors acting on human body. Among them, the trauma of upper limbs or lower limbs is called limb trauma, including iatrogenic trauma and non-iatrogenic trauma. The iatrogenic trauma includes bone and joint surgery, and the non-iatrogenic trauma mainly causes partial or complete damage to the continuity and integrity of limb tissue due to external violence or self-pathological injury, such as fracture, joint dislocation and open injury. Limb trauma causes local blood vessels, muscles and nerves to be damaged, which is prone to local edema. In addition, edema is also a common complication during the rehabilitation of limb trauma, which may lead to joint dysfunction, muscle atrophy, nerve injury and other serious consequences if not handled properly. With the rapid economic growth and the sustained development of road traffic and construction industry in China, the incidence of trauma is increasing. As one of the common injuries in limb trauma, the incidence of fracture is about 3.21‰. Although there are more and more clinical edema management methods, there is a lack of standardized and standardized guiding standards for edema management after limb trauma. In view of this, the Traumatic Osteology Group of Orthopedic Branch of Chinese Medical Association, External Fixation and Limb Reconstruction Group of Orthopedic Branch of Chinese Medical Doctor Association, and Bone and Joint Injury Group of Traumatic Surgeon Branch of Chinese Medical Doctor Association jointly set up an expert committee to compile the guide, and combined with the latest evidence-based medical evidence and clinical experience at home and abroad, formulated this guide, with a view to providing evidence-based and practical reference for practitioners in orthopedics, sports medicine, rehabilitation medicine, emergency and other fields in the management of edema after limb trauma, and promoting standardized management and treatment of edema. |
