术后疼痛管理--牙槽外科舒适治疗的基本保障  

Postoperative pain management is basic support of comfortable treatment in alveolar surgery

作　　者：张伟[1] 许向亮[1] Zhang Wei;Xu Xiangliang(Department of Oral and Maxillofacial Surgery,Peking University School and Hospital of Stomatology&National Center for Stomatology&National Clinical Research Center for Oral Diseases&National Engineering Research Center of Oral Biomaterials and Digital Medical Devices&Beijing Key Laboratory of Digital Stomatology,Beijing 100081,China)

机构地区：[1]北京大学口腔医学院·口腔医院口腔颌面外科国家口腔医学中心、国家口腔疾病临床医学研究中心、口腔生物材料和数字诊疗装备国家工程研究中心、口腔数字医学北京市重点实验室,北京100081

出　　处：《中华口腔医学杂志》2024年第8期764-770,共7页Chinese Journal of Stomatology

摘　　要：舒适治疗作为新质临床理念日益获得接受。疼痛为人类第五大生命体征,且为患者就诊第一关切,是牙槽外科必须面对的临床问题。本文概括了疼痛认知、术后疼痛的影响及临床疼痛分级,探讨术后疼痛管理的意义,归纳临床常用镇痛药物,介绍了舒适治疗与舒适化治疗的理念及技术。笔者提出,牙槽外科要达成舒适治疗首先应解除术后疼痛。术后疼痛不可仅实施临时止痛,而应以围手术期为重点阶段进行术后疼痛管理,在疼痛发生前运用超前镇痛的方案,结合非药物性方法,为患者达到舒适治疗的目标提供基本支撑和保障。本文旨在提示牙槽外科工作中应全面管控术后疼痛,以舒适治疗理念引导、推动相应技术的普及,降低手术对身心的不良影响,有助于机体功能的恢复,提升患者的依从性,使患者轻松、舒畅、愉悦地接受诊疗及康复的全过程。As a new clinical concept,comfortable treatment is gaining increasingly acceptance.Pain is the fifth vital sign in humans and the primary concern for patients.It is also a clinical issue that must be faced in alveolar surgery.This article summarizes pain cognition,the impact of postoperative pain and clinical pain grading,discusses the significance of postoperative pain management,categorizes commonly used analgesic medications in clinical practice.It also introduces the concepts and techniques of comfortable treatment and comfortable therapy.The author suggests that in order to achieve comfortable treatment in alveolar surgery,the first step is to relieve postoperative pain.Postoperative pain management should not only be treated as temporary analgesia but also be managed around the perioperative period as the key stage.Using preemptive analgesia before the onset of pain,combined with non-pharmacological methods,provides basic support and guarantee for patients to achieve the goal of comfortable treatment.The purpose of this article is to emphasize comprehensive control of postoperative pain in alveolar surgery,guiding and promoting the popularization and promotion of corresponding technologies with the concept of comfortable treatment.This aims to reduce the adverse impact of surgery on both physical and mental well-being,facilitating physiological recovery and enhancing patient compliance.To ensure that patients undergo diagnosis,treatment,and rehabilitation processes with ease,comfort,and satisfaction.

关 键 词：牙槽外科 术后疼痛 疼痛管理 超前镇痛 舒适治疗 舒适化治疗 

分 类 号：R782.13[医药卫生—口腔医学]