腹部外科围手术期镇痛进展  

Progress of perioperative analgesia in abdominal surgery

作　　者：王润东 荚卫东 Wang Rundong;Jia Weidong(Department of General Surgery,the First Affiliated Hospital of University of Science and Technology of China,HeFei230001,China)

机构地区：[1]中国科学技术大学附属第一医院普外科,合肥230001

出　　处：《中华普通外科杂志》2024年第11期822-826,共5页Chinese Journal of General Surgery

基　　金：安徽省重点研究与开发计划项目(1704a0802150)。

摘　　要：加速康复外科是以循证医学为基础,减少患者生理心理应激为核心,多种优化的围手术期路径为具体措施,最终实现快速康复这一目的的一种理念。在腹部外科领域内,围手术期镇痛是影响患者术后快速康复的关键因素,也是加速康复方案的重要环节。随着现代医疗技术的进步和临床研究的开展,新型镇痛药物的研制取得突破,镇痛技术和方案也日益改进完善。目前推荐采用预防性、多模式和个体化的镇痛方案。本文综述了腹部外科领域疼痛管理中镇痛药物和镇痛技术的应用现状,并结合本中心的疼痛管理经验,对于预防性、多模式镇痛和个体化镇痛的研究进展和存在的问题进行讨论。Enhanced recovery after surgery(ERAS)is a concept based on evidence-based medicine,with the reduction of patients'physiological and psychological stress as the core,multiple optimized perioperative paths as specific measures,and the ultimate goal of rapid rehabilitation.In the field of abdominal surgery,perioperative analgesia is a key factor affecting the rapid recovery of patients after surgery and an important link in accelerating the rehabilitation of ERAS program.With the development of modern medical technology and clinical research,breakthroughs have been made in the development of new analgesic drugs,and analgesic techniques and programs have been improved day by day.Preventive,multimodal and individualized analgesic regiments are currently recommended.We reviewed the current application status of analgesics and pain management techniques in the field of abdominal surgery.Combined with the pain management experience of our center,the research progress and existing problems in preventive,multi-modal and individualized analgesia are discussed.

关 键 词：镇痛 外科手术 

分 类 号：R614[医药卫生—麻醉学]