Ettrich U, Seifert J, Scharnagel R, Günther K P
Klinik und Poliklinik für Orthopädie, Universitätsklinikum Carl Gustav Carus, Technische Universität, Fetscherstrasse 74, 01307 Dresden.
Orthopade. 2007 Jun;36(6):544, 546-51. doi: 10.1007/s00132-007-1103-6.
Under-treatment of acute postoperative pain can lead to chronic pain with neuronal plasticity and result in poor surgical outcomes. A multimodal approach is therefore necessary to reduce postoperative pain by combining various analgesics with a non-pharmacological strategy. The current use of multimodal approaches, even for the management of postoperative pain, can reduce the side effects of pharmaceutical therapy alone as well as reducing the length of hospital stay. Adequate pain control is an important prerequisite for the application of rehabilitation programmes and will thereby influence functional outcome. In addition, patient satisfaction, as a major benchmarking factor after surgical treatment, is significantly influenced by the quality of postoperative pain management.
急性术后疼痛治疗不足会导致具有神经可塑性的慢性疼痛,并导致手术效果不佳。因此,有必要采用多模式方法,将各种镇痛药与非药物策略相结合以减轻术后疼痛。目前使用多模式方法,即使是用于术后疼痛管理,也可以减少单纯药物治疗的副作用,并缩短住院时间。充分的疼痛控制是应用康复计划的重要前提,从而会影响功能结局。此外,患者满意度作为手术治疗后的一个主要基准因素,会受到术后疼痛管理质量的显著影响。