急性术后疼痛管理现状与对策  

Current situation and countermeasures of acute postoperative pain management

作　　者：李梦琪 程智刚[1] 朱筱烨 王云姣[1] 黄长盛[1] 宋宗斌[1] 郭曲练[1] Li Mengqi;Cheng Zhigang;Zhu Xiaoye;Wang Yunjiao;Huang Changsheng;Song Zongbin;Guo Qulian(Department of Anesthesiology,Xiangya Hospital,Central South University,Changsha 410008,China)

机构地区：[1]中南大学湘雅医院麻醉科,长沙410008

出　　处：《中国医师杂志》2023年第11期1601-1604,共4页Journal of Chinese Physician

基　　金：湖南省自然科学基金(2021JJ31055,2022JJ30956)。

摘　　要：手术引起的疼痛是严重影响术后康复和健康相关生活质量的重要临床问题。未有效管理手术后疼痛不仅会导致患者生活质量下降,增加医疗费用,还会对患者的康复产生负面影响。因此,如何解决急性术后疼痛管理的挑战,寻找有效的管理策略,提高疼痛管理质量,具有重要的临床意义。本文对近年来急性术后疼痛管理现状,包括疼痛的发生机制、疼痛评估方法、药物及非药物管理策略、慢性术后疼痛的预测因素等进行总结,对未来研究方向和应用前景进行展望。Pain caused by surgery is an important clinical issue that seriously affects postoperative rehabilitation and health-related quality of life.Failure to effectively manage postoperative pain not only leads to a decrease in patient quality of life,increases medical expenses,but also has a negative impact on patient recovery.Therefore,it is of great clinical significance to address the challenges of acute postoperative pain management,find effective management strategies,and improve the quality of pain management.This article summarizes the current status of acute postoperative pain management in recent years,including the mechanism of pain occurrence,pain assessment methods,drug and non drug management strategies,and predictive factors for chronic postoperative pain.It also looks forward to future research directions and application prospects.

关 键 词：疼痛 手术后 镇痛药 神经传导阻滞 

分 类 号：R614[医药卫生—麻醉学]