Prabhu Malavika, Bortoletto Pietro, Bateman Brian T
Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Massachusetts General Hospital, Boston, Massachusetts.
Department of Obstetrics, Gynecology, and Reproductive Biology, Brigham and Women's Hospital, Boston, Massachusetts.
Fertil Steril. 2017 Aug;108(2):200-206. doi: 10.1016/j.fertnstert.2017.06.010. Epub 2017 Jul 8.
This review presents opioid-sparing strategies for perioperative pain management among women undergoing reproductive surgeries and procedures. Recommendations are provided regarding the use of nonsteroidal anti-inflammatory drugs, acetaminophen, other adjunctive medications, and regional anesthetic blocks. Additional considerations for chronic opioid users or patients using opioid replacement or antagonist therapy are discussed.
本综述介绍了接受生殖手术和操作的女性围手术期疼痛管理的阿片类药物节省策略。针对非甾体抗炎药、对乙酰氨基酚、其他辅助药物和区域麻醉阻滞的使用提供了建议。还讨论了慢性阿片类药物使用者或使用阿片类药物替代或拮抗剂治疗的患者的其他注意事项。