Giesa M, Decking J, Roth K E, Heid F, Jage J, Meurer A
Orthopädische Klinik und Poliklinik, Johannes Gutenberg-Universität Mainz.
Schmerz. 2007 Feb;21(1):73-82; quiz 83. doi: 10.1007/s00482-007-0524-9.
Provision of sufficient post-operative pain therapy is an obligation in the clinical management of patients. A wide range of medical, technical and organizational options is used to improve post-operative pain management in orthopaedic surgery. Measurement of pain is as important as the correct use of analgesics and application techniques. Standardized pain therapy algorithms should facilitate autonomous treatment of patients. Additional procedures like patient-controlled analgesia or local catheter for pain are necessary for individualized or operation-specific pain therapy. The balanced combination in postoperative pain therapy could reduce side effects and complication rates, increase mobility and enhance patient satisfaction.
提供充分的术后疼痛治疗是患者临床管理中的一项义务。在骨科手术中，人们采用了广泛的医学、技术和组织方面的方法来改善术后疼痛管理。疼痛测量与正确使用镇痛药及应用技术同样重要。标准化的疼痛治疗算法应有助于患者的自主治疗。对于个体化或特定手术的疼痛治疗，患者自控镇痛或局部疼痛导管等额外程序是必要的。术后疼痛治疗中的平衡组合可以降低副作用和并发症发生率，增加活动能力并提高患者满意度。
