药物麻醉在控制慢性疼痛中的应用。

Applications of Drug Anesthesia in Control Chronic Pain.

作者信息

Hasanzadeh-Kiabi Farshad, Negahdari Babak

机构信息

a Faculty of Medicine, Department of Anesthesiology , Mazandaran University of Medical Sciences , Sari , Iran.

b Department of Medical Biotechnology , School of Advanced Technologies in Medicine, Tehran University of Medical sciences , Tehran , Iran.

出版信息

J Invest Surg. 2019 Apr;32(3):232-237. doi: 10.1080/08941939.2017.1397230. Epub 2017 Dec 19.

Abstract

Surgery is one of the major causes of chronic pain in patients that have undergone any kind of surgeries. These complain are not only associated with major surgeries; even common minor surgeries like hernia repair have a significant risk of chronic pain. The development of chronic postsurgical pain (CPSP) depends on the type of surgical technique used. Furthermore, changes in the central nervous system have been associated with the development of persistent and chronic pain after surgical trauma and nerve injury. Anesthesia agents that block the mechanisms stimulating the process of central sensitization may be efficient in reducing the incidence of CPSP and finally psychosocial factors have been reported to be an important factor in the progression of chronic pain and as such should be addressed as part of perioperative care. The purpose of this mini-review is to give a comprehensive summary of the application of anesthesia drugs to reduce or control chronic pain during or after surgery.

摘要

手术是接受过任何类型手术的患者慢性疼痛的主要原因之一。这些疼痛不仅与大手术有关;即使是像疝气修补这样常见的小手术也有产生慢性疼痛的重大风险。慢性术后疼痛(CPSP)的发生取决于所使用的手术技术类型。此外,中枢神经系统的变化与手术创伤和神经损伤后持续性和慢性疼痛的发生有关。阻断刺激中枢敏化过程机制的麻醉剂可能在降低CPSP发生率方面有效,最后,据报道社会心理因素是慢性疼痛进展的一个重要因素,因此应作为围手术期护理的一部分加以解决。本小型综述的目的是全面总结麻醉药物在手术期间或术后减少或控制慢性疼痛方面的应用。

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