2018 AAHKS/AAOS/ASRA/AKS/AHS临床实践指南：氨甲环酸在初次髋膝关节置换中的应用

Clinical practice guidelines endorsed by 2018 AAHKS/AAOS/ASRA/AKS/AHS：application of tranexamic acid in primary total hip and knee arthroplasty

摘要:

2018年，美国髋膝关节外科医师协会（American Association of Hip and Knee Surgeons，AAHKS）、美国骨科医师学会（American Academy of Orthopaedic Surgeons，AAOS）、美国区域麻醉和疼痛医学学会（American Society of Regional Anesthesia and Pain Medicine，ASRA）、美国髋关节学会（American Hip Society，AHS）、美国膝关节协会（American Knee Society，AKS）联合发布了关于氨甲环酸（tranexamic acid，TXA）在初次髋膝关节置换中的应用临床实践指南。该临床实践指南针对TXA在初次髋膝关节置换中有效性和安全性相关的一些共同且重要的问题制定了推荐意见。在此对全文进行翻译，并加以解读以供临床医生参考。

Abstract:

In 2018，the American Association of Hip and Knee Surgeons（AAHKS），the American Academy of Orthopedic Surgeons （AAOS），the American Society of Regional Anesthesia and Pain Medicine（ASRA），the American Hip Society（AHS） and the Ameri－can Knee Society（AKS） have jointly issued the clinical practice guidelines for applying tranexamic acid（TXA） in primary total hip and knee arthroplasty，which addressed common and important questions related to the efficacy and safety of TXA in primary total hip and knee arthroplasty，and provided multidisplinary evidence-based recommendations on the use of TXA. This article translated and described the guidelines，so as to provide clinical practice guidelines to Chinese clinical surgeons.