多模式预先镇痛方案对术后临床结局的影响:文献综述  

Effect of preemptive multimodal analgesia protocols on postoperative clinical outcomes:a literature review

作　　者：徐宁[1,2] 于继强[1] 荣伟 Xu Ning;Yu Jiqiang;Rong Wei(Department of Anesthesiology,Weihai Central Hospital Affiliated to Qingdao University,Weihai City,Shandong Province 264400,China;The Second Medical College of Binzhou Medical University,Yantai City,Shandong Province 264300,China)

机构地区：[1]青岛大学附属威海市中心医院麻醉科,山东省威海市264400 [2]滨州医学院第二临床医学院,烟台市264300

出　　处：《中华疼痛学杂志》2023年第6期1017-1025,共9页Chinese Journal Of Painology

摘　　要：多模式预先镇痛是指预先镇痛和多模式镇痛联合使用的理念,临床应用证明能够提供显著的术后镇痛效果,有利于患者术后加速康复。近年来随着多种多模式预先镇痛方案广泛应用于临床,在优化患者术后结局方面较其他镇痛方案已经显现出明显的优势。本文就多模式预先镇痛方案对术后临床结局影响的相关文献予以综述。Preemptive multimodal analgesia combines the concepts of preemptive analgesia and multimodal analgesia to provide significant postoperative analgesic effect and facilitate the enhanced recovery after surgery(ERAS).In recent years,preemptive multimodal analgesic protocols have become widely prevalent in clinical practice with obvious advantages in optimizing postoperative outcomes.This article reviews the literature related to the effect of preemptive multimodal analgesia protocols on postoperative clinical outcomes.

关 键 词：预先镇痛 术后临床结局 炎性应激反应 认知功能障碍 免疫功能 躁动 胃肠功能紊乱 

分 类 号：R614[医药卫生—麻醉学]