Warwick Clinical Trials Unit, University of Warwick, Coventry, UK.
Department of Anaesthetics, Pain Medicine and Intensive Care, Imperial College London, London, UK.
Br J Surg. 2020 Jan;107(2):e70-e80. doi: 10.1002/bjs.11477.
Acute postoperative pain is common. Nearly 20 per cent of patients experience severe pain in the first 24 h after surgery, a figure that has remained largely unchanged in the past 30 years. This review aims to present key considerations for postoperative pain management.
A narrative review of postoperative pain strategies was undertaken. Searches of the Cochrane Library, PubMed and Google Scholar databases were performed using the terms postoperative care, psychological factor, pain management, acute pain service, analgesia, acute pain and pain assessment.
Information on service provision, preoperative planning, pain assessment, and pharmacological and non-pharmacological strategies relevant to acute postoperative pain management in adults is presented, with a focus on enhanced recovery after surgery pathways.
Adequate perioperative pain management is integral to patient care and outcomes. Each of the biological, psychological and social dimensions of the pain experience should be considered and understood in order to provide optimum pain management in the postoperative setting.
急性术后疼痛很常见。近 20%的患者在手术后 24 小时内会经历剧烈疼痛，这一数字在过去 30 年中基本没有变化。本综述旨在介绍术后疼痛管理的关键注意事项。
对术后疼痛策略进行了叙述性综述。使用了“术后护理、心理因素、疼痛管理、急性疼痛服务、镇痛、急性疼痛和疼痛评估”等术语，在 Cochrane 图书馆、PubMed 和 Google Scholar 数据库中进行了检索。
提供了与成人急性术后疼痛管理相关的服务提供、术前计划、疼痛评估以及药物和非药物策略方面的信息，重点介绍了手术后恢复加速途径。
充分的围手术期疼痛管理是患者护理和结果的重要组成部分。为了在术后环境中提供最佳的疼痛管理，应考虑和理解疼痛体验的生物、心理和社会各个方面。
