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术后疼痛管理。

Postoperative pain management.

机构信息

1 Anesthisiology Department, "Saint Luke" Private Hospital, Thessaloniki, Greece ; 2 Department of Medical Oncology, Aristotle University School of Medicine, Thessaloniki, Greece ; 3 Oncology Department, "Interbalkan" European Medical Center, Thessaloniki, Greece ; 4 Oncology Department, "BioMedicine" Private Clinic, Thessaloniki, Greece ; 5 Pulmonary-Oncology, "G. Papanikolaou" General Hospital, Aristotle University of Thessaloniki, Thessaloniki, Greece ; 6 Surgery Department, University General Hospital of Alexandroupolis, Alexandroupolis, Greece ; 7 Thoracic Surgery Department, "Saint Luke" Private Hospital, Thessaloniki, Greece ; 8 Vascular and Endovascular Surgeon, St. George's, King's College, Guy's and St Thomas' Hospitals, UK.

出版信息

J Thorac Dis. 2015 Feb;7(Suppl 1):S62-72. doi: 10.3978/j.issn.2072-1439.2015.01.15.

Abstract

Postoperative pain is a very important issue for several patients. Indifferent of the surgery type or method, pain management is very necessary. The relief from suffering leads to early mobilization, less hospital stay, reduced hospital costs, and increased patient satisfaction. An individual approach should be applied for pain control, rather than a fix dose or drugs. Additionally, medical, psychological, and physical condition, age, level of fear or anxiety, surgical procedure, personal preference, and response to agents given should be taken into account. The major goal in the management of postoperative pain is minimizing the dose of medications to lessen side effects while still providing adequate analgesia. Again a multidisciplinary team approach should be pursued planning and formulating a plan for pain relief, particularly in complicated patients, such as those who have medical comorbidities. These patients might appear increase for analgesia-related complications or side effects.

摘要

术后疼痛是许多患者非常关注的问题。无论手术类型或方法如何,疼痛管理都是非常必要的。减轻痛苦可以促进早期活动,减少住院时间,降低住院费用,并提高患者满意度。应该针对疼痛控制采用个体化方法,而不是固定剂量或药物。此外,还应考虑医疗、心理和身体状况、年龄、恐惧或焦虑程度、手术程序、个人偏好以及给予药物的反应。管理术后疼痛的主要目标是尽量减少药物剂量,以减少副作用,同时仍提供足够的镇痛效果。再次强调,应采用多学科团队方法来规划和制定疼痛缓解计划,特别是在复杂患者中,如患有合并症的患者。这些患者可能会增加与镇痛相关的并发症或副作用的风险。

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