·指南与规范 ·中国医师协会骨科医师分会骨科循证临床诊疗指南：成人急性下颈段脊柱脊髓损伤循证临床诊疗指南中国医师协会骨科医师分会 中国医师协会骨科医师分会《成人急性下颈段脊柱脊髓损伤循证临床诊疗指南》编辑委员会【摘要】 为了给中国的骨科医师提供关于急性下颈段脊柱脊髓损伤的临床诊疗指南，中国医师协会骨科医师分会脊柱创伤工作组组织相关专家撰写了本指南 。本指南适用于 3 周内的成人外伤性下颈段（颈 3 ~ 颈 7)椎体的骨折和（ 或）脱位，伴或不伴有脊髓、神经根损伤 。工作组通过设置问题、确定检索词来检索中英文文献，按照纳入和排除标准筛选文献；然后详细分析最终纳入的证据文献，确定证据等级，给出相应的推荐建议 。本指南最终纳入了 141 篇文献，其中中文 27 篇，英文 114 篇。设置了 18 个问题，分为院前急救、诊断与评估、治疗和并发症防治四大部分，共有 39 个推荐条目。【关键词】 下颈椎； 脊柱脊髓损伤； 诊断； 评估； 治疗； 临床诊疗指南Evidence⁃based guideline for the management of acute subaxial cervical spine injury Chinese Association of Orthopedic Surgeons , The Editorial Committee of the ‘ Evidence⁃based guideline for the management of acute subaxial cervical spine injury’of Chinese Association of Orthopedic SurgeonsCorresponding author: Sun Tiansheng, Department of Orthopedics , Army General Hospital , Beijing 100700, China ,Email :suntiansheng⁃@ 163.com【Abstract】 In order to provide the clinical guidelines of acute subaxial cervical spine injury for theChinese orthopedic surgeons, the Spine Trauma Group of Chinese Association of Orthopedic Surgeonscompiled this guidelines. The guidelines apply to adult patients with acute ( less than 3 weeks) subaxialcervical spine and/(or) spinal cord or nerve root injuries. The Study Group wrote the guidelines by settingup questions, determining search words, screening literatures according to inclusion and exclusion criteria,analyzing the included literatures, confirming evidence levels an...
