Jin F, Chung F
Department of Anesthesia, Toronto Western Hospital, University Health Network, University of Toronto, 399 Bathurst Street, Toronto, Ontario, Canada.
J Clin Anesth. 2001 Nov;13(7):524-39. doi: 10.1016/s0952-8180(01)00320-8.
Pain is one of the main postoperative adverse outcomes. Single analgesics, either opioid or nonsteroidal antiinflammatory drugs (NSAIDs), are not able to provide effective pain relief without side effects such as nausea, vomiting, sedation, or bleeding. A majority of double or single-blind studies investigating the use of NSAIDs and opioid analgesics with or without local anesthetic infiltration showed that patients experience lower pain scores, need fewer analgesics, and have a prolonged time to requiring analgesics after surgery. This review focuses on multimodal analgesia, which is currently recommended for effective postoperative pain control.
疼痛是术后主要的不良后果之一。单一镇痛药,无论是阿片类药物还是非甾体抗炎药(NSAIDs),都无法在不产生诸如恶心、呕吐、镇静或出血等副作用的情况下提供有效的疼痛缓解。大多数双盲或单盲研究调查了使用NSAIDs和阿片类镇痛药(有无局部麻醉浸润)的情况,结果显示患者术后疼痛评分更低,所需镇痛药更少,且需要镇痛药的时间延长。本综述聚焦于多模式镇痛,目前推荐其用于有效的术后疼痛控制。