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围手术期疼痛管理中的康复治疗

Rehabilitation Therapy in Perioperative Pain Management.

作者信息

Flaherty Molly J

机构信息

Department of Clinical Science, Ryan Veterinary Hospital of the University of Pennsylvania, 3900 Delancey Street, Philadelphia, PA 19104, USA.

出版信息

Vet Clin North Am Small Anim Pract. 2019 Nov;49(6):1143-1156. doi: 10.1016/j.cvsm.2019.07.006. Epub 2019 Aug 28.

Abstract

Physical agent modalities can be effective in the perioperative period for controlling pain and inflammation. This article presents research-based evidence to support the use of these modalities in pain management and to reduce the use of pain medications, including opioids. The mechanism of action, applications, contraindications, and adverse effects of cryotherapy, pulsed electromagnetic field therapy, transcutaneous electrical nerve stimulation, and laser therapy are reviewed. Incorporation of 1 or more of these therapies in anesthesia pain management protocols can improve outcomes and reduce potential drug side effects.

摘要

物理治疗方法在围手术期对于控制疼痛和炎症可能是有效的。本文提供基于研究的证据,以支持在疼痛管理中使用这些方法,并减少包括阿片类药物在内的止痛药物的使用。本文回顾了冷冻疗法、脉冲电磁场疗法、经皮电刺激神经疗法和激光疗法的作用机制、应用、禁忌症及不良反应。将这些疗法中的一种或多种纳入麻醉疼痛管理方案中,可以改善治疗效果并减少潜在的药物副作用。

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