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妇科手术超前镇痛技术。

Techniques for Preemptive Analgesia in Gynecologic Surgery.

机构信息

Department of Gynecologic Surgery, Mayo Clinic Arizona, Phoenix, Arizona (all authors).

Department of Gynecologic Surgery, Mayo Clinic Arizona, Phoenix, Arizona (all authors)..

出版信息

J Minim Invasive Gynecol. 2019 Feb;26(2):197. doi: 10.1016/j.jmig.2018.09.768. Epub 2018 Sep 18.

DOI:10.1016/j.jmig.2018.09.768
PMID:30240900
Abstract

STUDY OBJECTIVE

To provide surgeons with techniques for preemptive analgesia during minimally invasive gynecologic surgery. Postoperative pain management is an important component of patient care after gynecologic surgery. There have been numerous advances in pain management, including studies that show that preoperative administration of analgesics decreases postoperative pain scores and narcotic medication requirements [1-3]. However, there is limited information on the techniques for preemptive analgesia [4,5].

DESIGN

An instructional video showing a variety of preemptive analgesia techniques and the corresponding neuroanatomy (Canadian Task Force classification III). Mayo Clinic Institutional Review Board approval was not required for this video article.

SETTING

Academic Medical Center INTERVENTIONS: Relevant abdominopelvic neuroanatomy is reviewed. This is followed by a demonstration of the preemptive analgesia techniques based on neuroanatomy principles.

CONCLUSION

Techniques for preemptive analgesia are simple and effective. These tools can be used for patients undergoing gynecologic surgeries via a vaginal or abdominal approach and can help optimize postoperative pain and narcotic usage.

摘要

目的

为外科医生提供微创妇科手术中预防性镇痛的技术。术后疼痛管理是妇科手术后患者护理的重要组成部分。疼痛管理取得了许多进展,包括研究表明术前给予镇痛药可降低术后疼痛评分和阿片类药物需求[1-3]。但是,关于预防性镇痛的技术信息有限[4,5]。

设计

展示各种预防性镇痛技术和相应神经解剖结构的教学视频(加拿大任务组分类 III)。制作本视频文章不需要梅奥诊所机构审查委员会的批准。

地点

学术医疗中心

干预措施

复习相关的腹盆腔神经解剖结构。然后根据神经解剖学原理演示预防性镇痛技术。

结论

预防性镇痛技术简单有效。这些工具可用于经阴道或腹部途径接受妇科手术的患者,并有助于优化术后疼痛和阿片类药物的使用。

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1
Techniques for Preemptive Analgesia in Gynecologic Surgery.妇科手术超前镇痛技术。
J Minim Invasive Gynecol. 2019 Feb;26(2):197. doi: 10.1016/j.jmig.2018.09.768. Epub 2018 Sep 18.
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Preemptive Analgesia in Minimally Invasive Gynecologic Surgery.微创妇科手术中的超前镇痛。
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[Preemptive and preventive analgesia - an important element in perioperative pain management].[超前镇痛与预防性镇痛——围手术期疼痛管理的重要要素]
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Efficacy and safety of different doses of dezocine for preemptive analgesia in gynecological laparoscopic surgeries: A prospective, double blind and randomized controlled clinical trial.不同剂量地佐辛用于妇科腹腔镜手术超前镇痛的效果和安全性:一项前瞻性、双盲、随机对照临床试验。
Int J Surg. 2017 Jan-Dec;37 Suppl 1:539-545. doi: 10.1016/j.ijsu.2017.09.079. Epub 2017 Oct 31.
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Preemptive analgesia for postoperative pain relief in lumbosacral spine surgeries: a randomized controlled trial.腰骶部脊柱手术中用于术后疼痛缓解的超前镇痛:一项随机对照试验。
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Preemptive analgesia for postoperative hysterectomy pain control: systematic review and clinical practice guidelines.子宫切除术后疼痛控制的超前镇痛:系统评价与临床实践指南
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Anesthesia and analgesia for gynecological surgery.妇科手术的麻醉与镇痛
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