肩关节镜围手术期镇痛新进展  

Progress on pain control during the perioperative period of shoulder arthroscopy

作　　者：边文超[1] 张磊[1] 李进选[1] 姜博[1] 

机构地区：[1]中国中医科学院望京医院关节科,北京100102

出　　处：《中国骨伤》2015年第1期85-89,共5页China Journal of Orthopaedics and Traumatology

摘　　要：肩关节镜围手术期成功的镇痛可以让患者早日出院,提高患者围手术期生活质量,有利于患者术后初步的康复。综合的围手术期镇痛方法应包括术前、术中及术后3个阶段。术前良好的医患沟通是成功镇痛的第1步,在术前即应使用镇痛措施;术中镇痛包括局部伤口浸润、关节内麻醉药物的管理;术后镇痛应包括口服镇痛药物、恒速输注设备、患者自控镇痛、镇静催眠药的使用、持续低温疗法以及补充替代疗法。Successful pain management of perioperative shoulder arthroscopy may allow patients to go home earlier,im- prove the quality of life in perioperative period, and facilitate rehabilitation. A comprehensive method to perioperative pain control has three stages including preoperative, intraoperative and postoperative phase. Successful pain reduction should begin preoperatively because of an excellent communication between patient and physician, moreover, preoperative analgesia also should be administered. Intraoperative efforts should include local wound infiltration and the administration of anesthetic medication intra-articularly. Postoperative management should include oral analgesics, constant infusion devices, Patient Controlled Analgesia（PCA）, sedative-hypnotic drug, continuous cryotherapy and vicarious treatment.

关 键 词：关节镜 肩关节 围手术期 镇痛 综述文献 

分 类 号：R687.4[医药卫生—骨科学]