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多模式镇痛在预防术后慢性疼痛的发生及减少术后阿片类药物使用方面的作用。

The role of multimodal analgesia in preventing the development of chronic postsurgical pain and reducing postoperative opioid use.

作者信息

Jian Wenling, Rejaei Damoon, Shihab Ahmed, Alston Theodore A, Wang Jingping

机构信息

Department of Anesthesiology, the Second Xiangya Hospital, Central South University, Changsha, China.

Department of Anesthesia, Critical Care and Pain Medicine, Massachusetts General Hospital, Boston, Massachusetts.

出版信息

J Opioid Manag. 2018 Nov/Dec;14(6):453-461. doi: 10.5055/jom.2018.0478.

Abstract

Chronic postsurgical pain (CPSP) is a possible complication of various surgical procedures, which can impair patients' quality of life while also contributing to chronic opioid use. Multiple biopsychosocial factors put patients at risk for CPSP. Multimodal analgesia with the use of various pharmacologic and regional anesthetic techniques can help reduce the incidence and severity of CPSP. However, the relationship between various perioperative analgesic strategies and the development of CPSP is not fully understood. Although the use of multimodal analgesia will not automatically prevent CPSP and/or prolonged opioid consumption, there is potential to do so, especially by means of regional techniques.

摘要

慢性术后疼痛(CPSP)是各种外科手术可能出现的并发症,它会损害患者的生活质量,还会导致长期使用阿片类药物。多种生物心理社会因素使患者面临发生CPSP的风险。采用各种药物和区域麻醉技术的多模式镇痛有助于降低CPSP的发生率和严重程度。然而,各种围手术期镇痛策略与CPSP发生之间的关系尚未完全明确。虽然使用多模式镇痛并不能自动预防CPSP和/或延长阿片类药物的使用时间,但有这样做的可能性,特别是通过区域技术。

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