Department of Dermatology, University of Missouri, One Hospital Drive, Room MA111, Columbia, MO 65212, USA.
Department of Dermatology, University of Missouri, One Hospital Drive, Room MA111, Columbia, MO 65212, USA.
Dermatol Clin. 2019 Jul;37(3):341-348. doi: 10.1016/j.det.2019.03.004. Epub 2019 Apr 16.
Given the opposing pressures placed on dermatologists and dermatologic surgeons by the need for adequate postoperative analgesia and the current US opioid epidemic, a systematic review was performed to analyze postoperative pain management in outpatient dermatologic surgery. Dermatologic procedures are generally associated with minor postoperative pain of short duration. Anxiety reduction may lead to less postoperative pain. Studies vary on which anatomic locations and repair types are more or less associated with pain. Evidence supports the use of acetaminophen and ibuprofen for first-line postoperative analgesia in dermatologic surgery. Opioids, if given, should only be prescribed in small quantities.
鉴于需要充分的术后镇痛和当前美国阿片类药物流行这两种截然相反的压力，对门诊皮肤科手术的术后疼痛管理进行了系统评价分析。皮肤科手术通常与短期的轻微术后疼痛相关。减少焦虑可能会导致更少的术后疼痛。不同的研究表明，哪些解剖部位和修复类型与疼痛更相关或不相关。有证据支持在皮肤科手术中使用对乙酰氨基酚和布洛芬作为一线术后镇痛药。如果使用阿片类药物，应仅开小剂量。
