结肠直肠手术中的疼痛:它是如何发生的,我们有什么治疗工具?
Robert Ivascu1,2, Madalina Dutu1,2, Alina Stanca3
1Department of Anesthesiology and Intensive Care, 'Carol Davila' University of Medicine and Pharmacy, 050474 Bucharest, Romania.
Journal of clinical medicine
|November 14, 2023
概括
有效的术后疼痛管理对于患者的康复至关重要. 本综述强调了结直肠外科手术的多式止痛策略,强调阻断中央和外围疼痛通路.
科学领域:
- 麻醉学 麻醉学
- 手术疼痛管理手术疼痛管理
- 结肠直肠手术 结肠直肠手术
背景情况:
- 手术后的疼痛显著影响患者的结果,影响病率,生活质量和功能恢复.
- 较少的侵入性手术技术和早期出院需要更新的止痛策略.
研究的目的:
- 审查急性手术疼痛路径和手术应激反应.
- 根据最近的文献,评估结直肠外科手术的多式止痛技术和药物.
- 确定手术疼痛管理中的知识差距.
主要方法:
- 关于手术疼痛的现有文献的叙事综述.
- 描述急性手术疼痛的解剖路径.
- 分析疼痛与外科手术应激反应之间的联系.
- 综述多模式止痛方法,区域技术和药物.
主要成果:
- 手术疼痛带来了独特的挑战,需要全面的管理.
- 针对外围和中心疼痛通路的多模式止痛是必不可少的.
- 各种区域性镇痛技术和药物显示出有效性,具有特定的优势和担忧.
结论:
- 手术疼痛的管理是复杂的,需要一个一致的,多模式的方法.
- 阻断外围和中心疼痛通路是有效控制疼痛的关键.
- 需要进一步的研究来解决在手术疼痛管理中发现的知识差距.
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