多模式镇痛的临床研究现状  

Clinical Research Situation of Multimodal Analgesia

作　　者：张会东[1] 于松杨 王晓东[1] 周承孝[1] 

机构地区：[1]威海市立医院麻醉科,山东威海264200

出　　处：《医学综述》2011年第7期1072-1075,共4页Medical Recapitulate

摘　　要：多模式镇痛主要是采用不同作用机制的药物,如阿片类药、COX2抑制剂等,不同镇痛方法,如硬膜外阻滞及其他周围神经阻滞等,对产生术后疼痛机制的不同层面、不同靶位予以阻滞,以期实现平衡镇痛,减少神经、内分泌、免疫系统等不利影响,有助于内环境的稳定和术后患者的康复。多模式镇痛是目前控制急性术后疼痛选用的主要镇痛模式之一,广泛用于胸部、腹部、四肢手术,并取得了良好的效果。Multimodal analgesia adopted different analgesia mechanism of drugs such as opiates,COX2 inhibitors,different demulcent method such as epidural block and other peripheral nerve block,which will produce different levels,different sites to block of postoperative pain mechanism,in order to realize balance analgesia,reduce adverse effects such as nerve,endocrine,immune system,will help the stability of internal environment and postoperative recover.Multimodal analgesia currently was one of the main analgesic selection to control acute postoperative pain,which was widely used in the chest,abdomen,limb surgery,and achieved good effect.

关 键 词：多模式镇痛 麻醉 临床研究 

分 类 号：R614[医药卫生—麻醉学]