加速康复外科理念下关节置换术疼痛管理方案——多模式超前镇痛  

Pain management scheme for joint replacement surgery under ERAS concept:multimodal preemptive analgesia

作　　者：齐诗园 恽惠方[2] QI Shiyuan;YUN Huifang(Graduate School of Dalian Medical University,Dalian,Liaoning 116000,China)

机构地区：[1]大连医科大学,辽宁大连116000 [2]常州市第二人民医院麻醉科,江苏常州213000

出　　处：《中国临床研究》2023年第6期948-951,共4页Chinese Journal of Clinical Research

摘　　要：关节置换手术后患者易出现疼痛不适,从而影响患者术后恢复及手术效果。疼痛管理已作为关节置换手术加速康复外科理念的一个主要组成部分。本文从关节置换术有效镇痛的必要性、术后镇痛方案,讨论基于加速康复外科理念多模式超前镇痛应用于关节置换手术的疼痛管理效果。The patients who undergo joint replacement surgery are more likely to experience pain and discomfort,which can affect their postoperative recovery and surgical effectiveness.Pain management has become a major component of enhanced recovery after surgery(ERAS)for joint replacement surgery.This article discusses the effect of multimodal preemptive analgesia under ERAS based on the necessity of effective analgesia and postoperative analgesia plan in the patients receiving joint replacement surgery.

关 键 词：加速康复外科 关节置换 多模式超前镇痛 超前镇痛 多模式镇痛 阿片类药物 环氧合酶-2抑制剂 氯胺酮 

分 类 号：R614[医药卫生—麻醉学] R687.4[医药卫生—外科学]