开胸术后疼痛的防治进展  

Progress of Post-thoracotomy Pain-relief Strategies

作　　者：闾夏轶[1] 徐湘[1] 艾则麦提.如斯旦木 王永清[1] 

机构地区：[1]浙江大学附属第一医院胸外科,杭州310003

出　　处：《中国肺癌杂志》2012年第8期491-493,共3页Chinese Journal of Lung Cancer

摘　　要：本文对开胸术后疼痛的预防和治疗策略作一简明综述,并主要关注外科手术操作技术的改进对于减轻开胸术后疼痛的作用,同时也兼顾了一些麻醉药物方面的进展。尽管已有诸多相关研究在手术方式和药物镇痛两个方面对治疗和预防开胸术后疼痛进行了一些探索,但由于疼痛的个体差异、手术者操作技术的差别以及研究样本量的限制,目前尚难得出确切的结论支持其中的某种方法为"最优"选择。这一领域仍期待着临床专家的深入探索和研究。This article provides a concise review ofpost-thoracotomy pain-relief strategies, focuses on surgical factors that have been investigated to reduce post-thoracotomy pain, and explores the effectiveness of various treatments for this condition. Mthough some interventions （both procedural and pharmacologic） have been investigated in both preventing and treating post-thoracotomy pain syndrome, definitive studies are lacking and firm conclusions cannot be drawn. This review elucidates mechanisms and some surgical techniques which can relieve post-thoracotomy pain.

关 键 词：开胸术后疼痛 关胸缝合技术 肋间神经 

分 类 号：R614[医药卫生—麻醉学]