手术麻醉与疼痛控制。
Operative anesthesia and pain control.
作者信息
Winacoo Jeffrey N, Maykel Justin A
机构信息
Department of Anesthesiology, University of Massachusetts Memorial Medical Center, Worcester, MA 01605, USA.
出版信息
Clin Colon Rectal Surg. 2009 Feb;22(1):41-6. doi: 10.1055/s-0029-1202885.
Abstract
A comprehensive understanding of operative anesthesia and postoperative pain control is essential to the practicing colon and rectal surgeon. Most of the operations performed-particularly in the perineum-cause significant patient discomfort and often result in a lengthy recovery period. A variety of factors, including patient positioning in the operating room and patient expectations, influence the choice of operative anesthesia. Postoperatively numerous modalities and agents exist for pain control. With this variety of options at hand, surgeons should be educated and decisions should be individualized, with the ultimate goals of improving the patient experience and facilitating recovery.
摘要
对于执业结肠直肠外科医生而言，全面了解手术麻醉和术后疼痛控制至关重要。大多数手术，尤其是会阴部位的手术，会给患者带来极大不适，且往往导致较长的恢复期。多种因素，包括患者在手术室的体位和患者期望，都会影响手术麻醉的选择。术后有多种疼痛控制方式和药物。鉴于有如此多的选择，外科医生应接受相关教育，决策应因人而异，最终目标是改善患者体验并促进康复。
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J Minim Invasive Gynecol. 2005 May-Jun;12(3):210-5. doi: 10.1016/j.jmig.2005.03.007.
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Phase III trial of alvimopan, a novel, peripherally acting, mu opioid antagonist, for postoperative ileus after major abdominal surgery.一项关于新型外周作用的μ阿片受体拮抗剂阿维莫潘用于腹部大手术后肠梗阻的Ⅲ期试验。
Dis Colon Rectum. 2005 Jun;48(6):1114-25; discussion 1125-6; author reply 1127-9. doi: 10.1007/s10350-005-0035-7.
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Effectiveness of acute postoperative pain management: I. Evidence from published data.急性术后疼痛管理的有效性：I. 来自已发表数据的证据。
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