围手术期缓解活体肾移植供者术后疼痛的研究进展  

Research progress of perioperative pain relief in living donor kidney transplantation

作　　者：侯雨时 吕竟成 侯海军[2] 朱一辰[1] Hou Yushi;Lyu Jingcheng;Hou Haijun;Zhu Yichen(Department of Urology,Beijing Friendship Hospital,Capital Medical University,Beijing 100050,China;Department of Anesthesiology,Beijing Friendship Hospital,Capital Medical University,Beijing 100050,China)

机构地区：[1]首都医科大学附属北京友谊医院泌尿外科,北京100050 [2]首都医科大学附属北京友谊医院麻醉科,北京100050

出　　处：《国际外科学杂志》2023年第2期132-139,共8页International Journal of Surgery

摘　　要：近年来,随着供肾需求量的增加,活体供肾开始逐渐被人们重视。同时,因为活体肾移植供者无法从供肾切取术中获得任何受益,并且术后疼痛的发生率及严重程度比其他肾脏相关治疗性手术患者更高,所以如何通过围手术期的各种措施缓解供肾者的术后疼痛逐渐成为近年来的研究热点。随着多学科合作的开展,术前预见性护理、术中改变麻醉方式和改良气腹术以及术后应用不同种类镇痛药物均可使活体供肾者的术后疼痛得到进一步缓解,并降低术后阿片类镇痛药物的使用。本文对以上各种围手术期缓解活体供肾者术后疼痛的方法进行综述,以期对临床决策的制定提供帮助。In recent years,living kidney donors is getting valuable with the increasingly needs of kidney transplantation.However,living kidney donors can receive no benefits but greater incidence and severity of pain compared to other kinds of renal surgeries.Thus,it is getting popular on how to relief the postoperative pain during perioperative period for living kidney donors.As multidisciplinary cooperation developing,preoperative predictive nursing,changed analgesia mode,modified pneumoperitoneum,and postoperative application of different kinds of analgesic drugs can further relief the postoperative pain of living kindney donors.This paper sums up different modalities of pain relief in patients undergoing live donor nephrectomy to provide reference to clinical decision of living kidney transplantation.

关 键 词：肾移植 活体供者 围手术期医护 心理干预 局部麻醉 药物镇痛 

分 类 号：R699.2[医药卫生—泌尿科学]