确定慢性术后疼痛的危险因素和预防措施:全面更新
Joseph V Pergolizzi1, Jo Ann LeQuang1, Peter Magnusson2,3
1NEMA Research, Inc, Naples, Florida, USA.
Expert review of neurotherapeutics
|November 24, 2023
概括
有效管理急性术后疼痛是预防慢性术后疼痛 (CPSP) 的关键. 利用多模式止痛和告知患者风险是缓解CPSP的关键策略.
科学领域:
- 疼痛医学 医学 疼痛医学
- 外科手术的结果
- 麻醉学 麻醉学
背景情况:
- 慢性术后疼痛 (CPSP) 显著影响生活质量和功能.
- CPSP可能发生在各种手术后,包括微创手术.
- 已知CPSP的风险因素包括女性性别,年轻年龄和特定的手术类型.
研究的目的:
- 审查关于慢性术后疼痛的文献.
- 讨论预防和管理CPSP的策略.
主要方法:
- 这项研究是对现有文献的叙述性审查.
主要成果:
- 急性术后疼痛管理对于预防CPSP至关重要.
- 建议采用安全,有效和节省阿片类药物的多模式止痛疗法.
- 区域麻醉剂在特定患者群体中表现有前途.
结论:
- 每一个手术患者都面临CPSP的风险.
- 有效控制急性术后疼痛,注意阿片类药物管理,是主要的预防策略.
- 让患者了解他们个人的CPSP风险是很重要的.
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