ICU中重症急性胰腺炎镇痛研究进展  

Research Progress on Analgesia of Severe Acute Pancreatitis in the ICU

作　　者：刘雪琳 LIU Xuelin

机构地区：[1]浙江大学医学院附属第一医院重症监护室,浙江杭州310003

出　　处：《中国医学创新》2024年第35期184-188,共5页Medical Innovation of China

摘　　要：重症急性胰腺炎是一种严重的临床急症,常导致剧烈疼痛和多脏器功能障碍。在重症监护室中,有效的镇痛管理对于缓解患者痛苦、改善舒适度和促进恢复至关重要。本文对目前重症急性胰腺炎常规镇痛药物的选择、硬膜外麻醉及新兴的镇痛策略内容进行概述,并对每种镇痛策略的效果、风险进行分析。此外,结合近期研究和临床指南,本文指出了当前镇痛管理面临的挑战及未来的改进方向。Severe acute pancreatitis is a serious clinical emergency,which often leads to severe pain and multiple organ dysfunction.In the intensive care unit,effective analgesic management is essential to relieve patient pain,improve comfort,and promote recovery.In this paper,the selection of conventional analgesic drugs,epidural anesthesia and emerging analgesic strategies for severe acute pancreatitis are summarized,and the effects and risks of each analgesic strategy are analyzed.In addition,combined with recent research and clinical guidelines,this paper points out the challenges faced by the current analgesia management and the future improvement direction.

关 键 词：重症监护室 重症急性胰腺炎 镇痛 

分 类 号：R576[医药卫生—消化系统]