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[局部麻醉药持续伤口灌注:在术后疼痛治疗中的重要性]

[Continuous wound infusion of local anesthetics: importance in postoperative pain therapy].

作者信息

Gottschalk A, Gottschalk A

机构信息

Klinik und Poliklinik für Anästhesiologie und operative Intensivmedizin, Universitätsklinikum Münster, Münster, Deutschland.

出版信息

Anaesthesist. 2010 Dec;59(12):1076-82. doi: 10.1007/s00101-010-1808-5.

Abstract

Continuous wound infusion of local anesthetics, which is mainly used in general surgery and orthopedics, is an interesting technique in postoperative pain therapy. Continuous wound infusion of local anesthetics is able to reduce postoperative opioid requirements and results in decreased pain scores. Recent studies indicate that rehabilitation seems to be enhanced and postoperative hospital stay may be shorter. Continuous wound infusion is an effective analgesic technique, which is simple to perform. Comparisons with other analgesic techniques, such as peripheral nerve blocks, epidural analgesia and other multimodal analgesic concepts are still required.

摘要

局部麻醉药持续伤口输注主要用于普通外科和骨科手术,是术后疼痛治疗中一项有趣的技术。局部麻醉药持续伤口输注能够减少术后阿片类药物的用量,并降低疼痛评分。最近的研究表明,康复似乎得到了加强,术后住院时间可能会缩短。持续伤口输注是一种有效的镇痛技术,操作简单。仍需与其他镇痛技术进行比较,如外周神经阻滞、硬膜外镇痛和其他多模式镇痛方案。

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