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[术后疼痛管理与康复的多模式方法]

[Multimodal approaches to postoperative pain management and convalescence].

作者信息

Mugabure Bujedo B, Tranque Bizueta I, González Santos S, Adrián Garde R

机构信息

Servicio de Anestesiología Reanimación y Tratamiento del Dolor, Hospital Donostia, San Sebastián.

出版信息

Rev Esp Anestesiol Reanim. 2007 Jan;54(1):29-40.

Abstract

Coping with pain is a complex, multifactorial phenomenon that requires an interdisciplinary approach. Multimodal analgesia involves the association of several analgesics administered by different routes to achieve more effective relief than analgesics administered individually. This approach reduces side effects and increases patient satisfaction. The advantages and limitations of different options for managing postoperative pain are reviewed. A regional block before surgery is recommended whenever possible. The choice of local anesthetic, the route of administration, and the duration of treatment will depend on the type of patient and operation. The combination of an anti-inflammatory drug with an analgesic that works on the central nervous system is recommended, whether the route is oral or parenteral, provided there are no contraindications. Integrating these techniques into a rehabilitation program will facilitate postoperative convalescence.

摘要

应对疼痛是一个复杂的、多因素的现象,需要采用跨学科方法。多模式镇痛涉及通过不同途径给予多种镇痛药,以实现比单独使用镇痛药更有效的疼痛缓解。这种方法可减少副作用并提高患者满意度。本文综述了管理术后疼痛的不同方法的优缺点。尽可能在手术前进行区域阻滞。局部麻醉药的选择、给药途径和治疗持续时间将取决于患者类型和手术类型。无论给药途径是口服还是胃肠外给药,只要没有禁忌证,推荐将抗炎药与作用于中枢神经系统的镇痛药联合使用。将这些技术整合到康复计划中将有助于术后康复。

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