摘要
术后疼痛影响术后机体的恢复,有效控制疼痛是围术期管理的重要内容。与开腹手术相比,腹腔镜微创手术的切口小,切口疼痛较轻。但仍有多种因素造成腹腔镜手术术后除切口痛以外的疼痛反应,相关疼痛控制的问题需要注意和深入研究。不同患者的疼痛敏感性存在差异,疼痛控制需求也具有个体化差异;对于腹腔镜外科围术期疼痛控制,应当全面考虑成本、效果和安全性进行个体性分析。推荐选择包括局部切口止痛、全身镇痛的多模式镇痛方法。选择合适的止痛药物,达到有效止痛的同时,可以减少药物副作用的发生。
Postoperative pain affects the recovery and effective pain control is important content of perioperative management. Compared laparoscopic surgery with open operation, incision is minimal and pain of incision is mild. But many factors make pain except incision pain, that may be worthy of attention and studying. Different patient has individual pain sensitivity and pain control requirements. It is important to analysis the cost, effect and safety to make sure the method of perioperative analgesic for different patients; it is recommended for multimodal analgesia model, including local incision pain control and systemic analgesia. Choosing appropriate medicine maybe, not only effectively control pain, but also decrease risk of side effects.
出处
《中国医药导报》
CAS
2017年第20期32-35,共4页
China Medical Herald
基金
北京市卫生系统高层次卫生技术人才培养计划(2014-3-053)
关键词
围术期镇痛
腹腔镜外科
进展
Perioperative analgesic
Laparoscopic surgery
Progress
作者简介
郑亚民（1971．10-），男，博士，副主任医师，副教授，硕士研究生导师；研究方向：肝胆胰外科基础及临床。
