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术中干预对减轻术后慢性疼痛的作用。

The role of intraoperative interventions to minimise chronic postsurgical pain.

作者信息

Anwar Sibtain, O'Brien Ben

机构信息

Department of Perioperative Medicine, Barts Heart Centre, London, UK.

NIHR Biomedical Research Centre at Barts, William Harvey Research Institute, Barts and The London School of Medicine and Dentistry, London, UK.

出版信息

Br J Pain. 2017 Nov;11(4):186-191. doi: 10.1177/2049463717720640. Epub 2017 Jul 18.

Abstract

Chronic postsurgical pain (CPSP) is the most common complication following surgery, with increasing evidence of both its prevalence and severity. While awareness of the various risk factors for this long-term condition is also increasing, effective prevention remains elusive. In this review, we describe the increasing evidence for preventive or 'protective' strategies. Controversies and conflicting human data are presented along with suggestions for improved future study.

摘要

慢性术后疼痛(CPSP)是手术后最常见的并发症,其患病率和严重程度的证据都在不断增加。虽然人们对这种长期病症的各种风险因素的认识也在提高,但有效的预防措施仍然难以实现。在本综述中,我们描述了越来越多的预防性或“保护性”策略的证据。文中还介绍了争议和相互矛盾的人体数据,并对未来改进研究提出了建议。

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本文引用的文献

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Pharmacotherapy for the prevention of chronic pain after surgery in adults.成人术后慢性疼痛预防的药物治疗
Cochrane Database Syst Rev. 2013 Jul 24;2013(7):CD008307. doi: 10.1002/14651858.CD008307.pub2.
9
Chronic postsurgical pain after nitrous oxide anesthesia.笑气麻醉后慢性术后疼痛。
Pain. 2011 Nov;152(11):2514-2520. doi: 10.1016/j.pain.2011.07.015. Epub 2011 Sep 1.
10
Persistent postoperative pain: where are we now?持续性术后疼痛:我们现在在哪里?
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