心脏手术后的慢性术后疼痛:一个叙事审查
Burhan Dost1, Yunus Emre Karapinar2, Deniz Karakaya1
1Department of Anesthesiology and Reanimation, Ondokuz Mayis University Faculty of Medicine, Samsun, Türkiye.
Saudi journal of anaesthesia
|April 21, 2025
概括
心脏手术后的慢性术后疼痛 (CPSP) 显著影响患者和医疗保健. 有效的管理需要了解其原因,并采用基于证据的多学科策略.
科学领域:
- 麻醉学和疼痛管理
- 心胸外科手术 心胸外科手术
- 神经外科 神经外科
背景情况:
- 慢性术后疼痛 (CPSP) 是心脏手术后的常见和严重并发症.
- 它会对患者的生活质量,功能恢复和医疗保健资源利用产生负面影响.
- 不充分的急性疼痛管理是发展CPSP的一个重要风险因素.
研究的目的:
- 审查心脏手术后CPSP的病因和危险因素.
- 批判性地评估CPSP目前的药理和非药理干预措施.
- 突出新兴策略和需要多学科护理的需要.
主要方法:
- 关于心脏手术相关的CPSP研究的综合文献综述.
- 分析病理生理机制,包括敏感和炎症.
- 对现有和新型治疗方式的评估.
主要成果:
- CPSP的病理生理学涉及复杂的神经塑性和炎症过程.
- 人口,心理和外科外科因素影响了CPSP的发展.
- 区域麻醉和多式联络方法在预防和治疗方面表现有前途.
结论:
- 解决CPSP需要对其多因素病因学的彻底理解.
- 基于证据的多学科策略对于应对这一持续挑战至关重要.
- 对包括区域麻醉在内的预防和治疗选择进行进一步研究是有必要的.
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