围手术期镇痛在骨科手术中的新进展  

Preoperative analgesia in orthopaedic surgery

作　　者：李剑[1] 翁文杰[1] 

机构地区：[1]南京医科大学临床鼓楼医院骨科,江苏南京210008

出　　处：《中国骨伤》2012年第8期701-704,共4页China Journal of Orthopaedics and Traumatology

摘　　要：骨科手术后疼痛不仅给患者带来诸多的不利影响,而且直接影响术后早期康复和活动。有效的围手术期疼痛处理包括术前、术中及术后3个阶段的个体化多模式镇痛,其目的是作用于疼痛产生的多个平面、立体化多方面镇痛,强化镇痛效果,减少单一药物的用量和不良反应。本文就骨科围术期个体化多模式镇痛概念、疼痛的评估方式、各种常用的治疗方式的新进展进行了综述。Orthopaedic postoperative pain not only brings a lot of side effects to patients, but also directly affects early re- habilitation after surgery. Effective preoperative pain management mainly includes three-stage individual pattern analgesia, which refers to preoperative,intraoperative and postoperative analgesia. The purpose is to reduce pain in multiple planes and three-dimension, strengthen the effect of analgesics and reduce dosage and side effect of single drug. This paper summaries new progress on individual-multiple-pattern analgesics, pain assessment method and various therapies.

关 键 词：手术期间 镇痛 外科手术 综述文献 

分 类 号：R619[医药卫生—外科学]