Kehlet H
Department of Surgical Gastroenterology, Hvidovre University Hospital, University of Copenhagen, Denmark.
Surg Clin North Am. 1999 Apr;79(2):431-43. doi: 10.1016/s0039-6109(05)70390-x.
Postoperative pain relief continues to demand our awareness, and surgeons should be fully aware of the potential physiologic benefits of effective dynamic pain relief regimens and the great potential to improve postoperative outcome if such analgesia is used for rehabilitation. To achieve advantageous effects, accelerated multimodal postoperative recovery programs should be developed as a multidisciplinary effort, with integration of postoperative pain management into a postoperative rehabilitation program. This requires revision of traditional care programs, which should be adjusted according to recent knowledge within surgical pathophysiology. Such efforts must be expected to lead to improved quality of care for patients, with less pain and reduced morbidity leading to cost efficiency.
术后疼痛缓解仍然需要我们予以关注,外科医生应充分认识到有效的动态疼痛缓解方案潜在的生理益处,以及如果将此类镇痛方法用于康复,对改善术后结果具有的巨大潜力。为取得有利效果,应通过多学科协作制定加速的多模式术后康复计划,将术后疼痛管理纳入术后康复计划。这需要修订传统护理计划,应根据外科病理生理学的最新知识进行调整。预计此类努力将提高患者的护理质量,减少疼痛和发病率,从而提高成本效益。