后路腰椎手术围手术期镇痛的研究进展  

Research progress of perioperative analgesia in posterior lumbar surgery

作　　者：莫建行 卢怡君 陈小聪 曹殿青 MO Jianhang;LU Yijun;CHEN Xiaocong;CAO Dianqing(Department of Anesthesiology,Affiliated Hospital of Guangdong Medical University,Zhanjiang,Guangdong,524000,China)

机构地区：[1]广东医科大学附属医院麻醉科,广东湛江524000

出　　处：《当代医学》2024年第19期184-188,共5页Contemporary Medicine

摘　　要：后路腰椎手术是治疗腰椎疾病的主要手术方式,其疗效显著并已广泛应用于临床。然而脊柱手术患者常伴有严重术后疼痛,从而影响术后早期恢复、功能锻炼、住院时间,甚至与感染、血栓等并发症密切相关。因此,良好的围手术期镇痛对术后恢复尤为重要。镇痛药物、镇痛技术、给药方式的相互配合为镇痛管理提供了新方向,但因个体差异存在,未来应制订个体化的镇痛方案。Posterior lumbar spine surgery is the main surgical method for the treatment of lumbar spine diseases,and has been widely used in clinic.However,patients with spinal surgery are often accompanied by severe postoperative pain,which affects early postoperative recovery,functional exercise,length of hospital stay,and even is closely related to complications such as infection and thrombosis.Therefore,good perioperative analgesia is particularly important for postoperative recovery.The coordination of analgesic drugs,analgesic techniques and drug administration provides a new direction for analgesic management.However,due to individual differences,individualized analgesic programs should be developed in the future.

关 键 词：后路腰椎手术 围手术期 镇痛 研究进展 

分 类 号：R473.6[医药卫生—护理学]