围术期目标导向全程镇痛管理中国专家共识(2021版)  

Expert consensus for comprehensive goal-directed perioperative analgesia management in China(2021)

作　　者：张晓光[1] 郄文斌 屠伟峰 曹汉忠[4] 邓晓明 方浩 耿智隆 何仁亮[8] 黑子清[9] 黄雄庆[10] 靳三庆[11] 李雅兰[12] 林春水[13] 吕欣[14] 王汉兵[15] 王晟[16] 许立新[17] 徐世元[18] 张辉[19] 张良清 赵高峰[21] Zhang Xiaoguang;Qie Wenbin;Tu Weifeng;Cao Hanzhong;Deng Xiaoming;Fang Hao;Geng Zhilong;He Renliang;Hei Ziqing;Huang Xiongqing;Jin Sanqing;Li Yalan;Lin Chunshui;Lyu Xin;Wang Hanbing;Wang Sheng;Xu Lixin;Xu Shiyuan;Zhang Hui;Zhang Liangqing;Zhao Gaofeng(Department of Anesthesiology,Beijing Jishuitan Hospital,Beijing City 100035,China;Department of Anesthesiology,PLA General Hospital of the Eastern Theater Command,Guangzhou City,Guangdong Province 210002,China;Department of Anesthesiology,Shenzhen Hyzen Hospital,Shenzhen City,Guangdong Province 518055,China;Department of Anesthesiology,Cancer Hospital Affiliated to Nantong University,Nantong City,Jiangsu Province 226361,China;Department of Anesthesiology,Plastic Surgery Hospital of Chinese Academy of Medical Sciences,Beijing City 100000,China;Department of Anesthesiology,Zhongshan Hospital of Fudan University,Shanghai City 200032,China;Department of Anesthesiology,the 940th Hospital of Joint Logistic Support Force of Chinese People's Liberation Army,Lanzhou City,Gansu Province 730050,China;Department of Anesthesiology,the Third People's Hospital of Shenzhen,Shenzhen City,Guangdong Province 518000,China;Department of Anesthesiology,the Third Affiliated Hospital,Sun Yet-sen University,Guangzhou City,Guangdong Province 510000,China;Department of Anesthesiology,The First Affiliated Hospital,Sun Yet-sen University,Guangzhou City,Guangdong Province 510080,China;Department of Anesthesiology,the Sixth Affiliated Hospital,Sun Yet-sen University,Guangzhou City,Guangdong Province 510000,China;Department of Anesthesiology,the First Affiliated Hospital of Jinan University(Guangzhou Overseas Chinese Hospital),Guangzhou City,Guangdong Province 510632,China;Department of Anesthesiology,Nanfang Hospital Affiliated to Southern Medical University,Guangzhou City,Guangdong Province 510515,China;Department of Anesthesiology,Shanghai Pulmonary Hospital,Shanghai City 200433,China;Department of Anesthesiology,First People's Hospital of Foshan,Foshan City,Guangdong Province 528000,China;Depar

机构地区：[1]北京积水潭医院麻醉科,北京市100035 [2]南部战区总医院麻醉科,广东省广州市510010 [3]深圳禾正医院麻醉科,深圳市518055 [4]南通大学附属肿瘤医院麻醉科,南通市226361 [5]中国医学科学院整形外科医院麻醉科,北京市100000 [6]复旦大学附属中山医院麻醉科,上海市200032 [7]联勤保障部队第九四〇医院麻醉科,甘肃省兰州市730050 [8]深圳市第三人民医院麻醉科,深圳市518000 [9]中山大学附属第三医院麻醉科,广州市510000 [10]中山大学附属第一医院麻醉科,广州市510080 [11]中山大学附属第六医院麻醉科,广州市510000 [12]暨南大学附属华侨医院麻醉科,广州市510632 [13]南方医科大学附属南方医院麻醉科,广州市510515 [14]上海市肺科医院麻醉科,上海市200433 [15]佛山市第一人民医院麻醉科,广东省佛山市528000 [16]广东省人民医院麻醉科,广州市510080 [17]广州市第一人民医院麻醉科,广州市510180 [18]南方医科大学附属珠江医院麻醉科,广州市510252 [19]广东省第二人民医院麻醉科,广州市510317 [20]广东医科大学附属医院麻醉科,湛江市524000 [21]广东省中医院麻醉科,广州市510120

出　　处：《中华疼痛学杂志》2021年第2期119-125,共7页Chinese Journal Of Painology

摘　　要：临床上开展术后镇痛20余年,但术后镇痛不足仍然十分普遍。因此,全程有效控制疼痛达到无缝衔接,是减少患者伤害性应激反应、加强术后快速康复(ERAS)、预防术后慢性疼痛发生的重要措施。本文为围术期目标导向全程镇痛(CGPA)管理的专家共识,目的是通过提高术后镇痛率,降低中重度疼痛发生率,减少疼痛或镇痛相关并发症,提升围术期镇痛满意度和医疗服务满意度,利用信息化手段、互联网平台、智能化镇痛和重要生命体征远程监控手段,实现围术期全时段、全区域、全方位远程监控的个体化镇痛,提高围术期镇痛质量。The postoperative analgesia has developed more than 20 years,but insufficient analgesia is still very common.Comprehensive effective pain control can achieve seamless connection for the perioperative analgesia,including reducing the patient's noxious stress response,enhancing recovery after surgery(ERAS)and preventing postoperative chronic pain.This expert consensus on the management of comprehensive goal-directed perioperative analgesia(CGPA)aims to improve perioperative analgesia satisfaction,reduce the incidence of moderate to severe pain,and decrease analgesia-related complications.Adopting information technology,internet platform,intelligent analgesia and remote monitoring of important vital signs to achieve individual and full time perioperative analgesia,we can improve the quality and safety of perioperative analgesia,enhance postoperative safety,comfort and rapid recovery for the surgical patients.

关 键 词：疼痛 手术后 围术期目标导向全程镇痛 急性疼痛服务小组 慢性疼痛 预防性镇痛 

分 类 号：R614[医药卫生—麻醉学]