重视围术期目标导向全程镇痛推广与普及  

Emphasis on promotion and popularization of comprehensive goal-directed perioperative analgesia

作　　者：周扬[1] 谢创波[1] 屠伟峰[1] 

机构地区：[1]广州军区广州总医院麻醉科,全军临床麻醉中心,广东广州510010

出　　处：《麻醉安全与质控》2017年第2期55-59,共5页Perioperative Safety and Quality Assurance

基　　金：广东省科技计划面上项目(2014A020212410);广东省科技计划项目(产学研--重大新药创制专项,2012A080202012)

摘　　要：围术期镇痛是加速康复外科(ERAS)方案的核心要素之一。基于ERAS和智能化术后镇痛管理平台提出围术期目标导向全程镇痛(CGPA),具体包括5个环节:术前预防性镇痛、术中伤害性应激和损伤控制、苏醒前过渡期镇痛、术后镇痛和撤泵后镇痛。通过成立急性疼痛服务小组、利用信息化手段和多模式镇痛技术持续提高围术期镇痛个体化水平,有助于更好实现ERAS和舒适医疗的目标。Perioperative pain management is one of the key factors to enhanced recovery after surgery （ERAS）. Based on ERAS and intelligent postoperative analgesia management system, comprehensive goal-directed perioperative analgesia （CGPA） was proposed, inclu- ding the following five aspects ： （ 1 ） preventive analgesia before surgery, （2） intraoperative nociceptive stress and damage control, （3） transitional period analgesia from the end of surgery to the recovery of anesthesia, （4） postoperative analgesia and （5） pain management after the removal of analgesic pump. Through the establishment of acute pain management service group and the application of information technology and multi-modal andgesia, the individual level of perioperative analgesia was continuously improved, which helps to achieve the aims of the better ERAS and comfortable medicine.

关 键 词：围术期 目标导向 镇痛 

分 类 号：R614[医药卫生—麻醉学]