[开胸术后急性疼痛的管理——最新进展]
[Management of acute postoperative pain following thoracotomy - state of the art].
作者信息
Matek J, Michálek P, Trča S, Krška Z
出版信息
Rozhl Chir. 2016 Summer;95(6):217-21.
UNLABELLED
Postoperative pain management is an important part of complex perioperative care in patients undergoing thoracotomy, irrespective of the procedure type. Adequate pain relief leads to early mobilisation, improves respiratory functions and decreases global stress response. Thus, good perioperative pain management significantly reduces postoperative complications. Currently, numerous analgesic methods are available for the management of acute postthoracotomy pain including patient- or nurse-controlled systemic administration of analgesics, infiltration with local anaesthetics, intrapleural or intercostal nerve blockades and neuroaxial blocks (paravertebral, intrathecal, epidural). The aim of this review is to analyze the currently used methods in postthoracotomy pain management, their benefits in the light of current guidelines, and potential risks.
KEY WORDS
thoracotomy - chest surgery analgesia.
未标注
无论手术类型如何，术后疼痛管理都是开胸手术患者复杂围手术期护理的重要组成部分。充分的疼痛缓解可促进早期活动，改善呼吸功能，并降低全身应激反应。因此，良好的围手术期疼痛管理可显著减少术后并发症。目前，有多种镇痛方法可用于管理开胸术后急性疼痛，包括患者或护士控制的全身镇痛药物给药、局部麻醉药浸润、胸膜内或肋间神经阻滞以及神经轴阻滞（椎旁、鞘内、硬膜外）。本综述的目的是分析目前用于开胸术后疼痛管理的方法、根据当前指南其益处以及潜在风险。
关键词
开胸手术 - 胸外科镇痛
Zotero 插件