持续静脉输注利多卡因用于术后镇痛的研究进展  

Research progress of continuous intravenous infusion of lidocaine for postoperative analgesia

作　　者：叶茂 徐艳[1] 林海明 姜春玲[1] 周莉[1] YE Mao;XU Yan;LIN Haiming;JIANG Chunling;ZHOU Li(Department of Anesthesiology,West China Hospital,Sichuan University,Chengdu 610000,China)

机构地区：[1]四川大学华西医院麻醉科,成都市610000

出　　处：《临床麻醉学杂志》2022年第9期980-983,共4页Journal of Clinical Anesthesiology

基　　金：国家自然科学基金(82002084);四川省科技厅重点研发项目(2020YFS87);四川大学华西医院学科卓越发展1·3·5项目(2019HXFH043)。

摘　　要：外科手术后患者疼痛的发生率较高,不仅延缓术后康复,也降低术后生活质量。近年来,越来越多的研究表明围术期持续静脉输注利多卡因有助于减轻术后疼痛,减少阿片类镇痛药物的使用,并促进术后康复。本文将从静脉输注利多卡因的镇痛机制、减轻术后疼痛的作用以及静脉利多卡因的输注策略等方面进行详细阐述,以期为静脉输注利多卡因在术后镇痛中的应用提供参考。The incidence of postoperative pain is extremely high,which greatly affects the rapid recovery and quality of life of patients after surgery.Recently,more and more studies have found that continuous intravenous infusion of lidocaine for postoperative analgesia is not only effective,but also reduces the doses of opioid and prompts rapid recovery.This article will focus on the analgesic mechanism of intravenous lidocaine,the effects of intravenous infusion of lidocaine on postoperative pain,and the intravenous infusion strategies of lidocaine,thus provide a strategy for the application of intravenous infusion lidocaine on postoperative analgesia.

关 键 词：静脉输注 利多卡因 急性疼痛 慢性疼痛 

分 类 号：R614[医药卫生—麻醉学]