University of Colorado Anschutz Medical Campus, 12401 East 17th Avenue, Mail Stop B113, Aurora, CO 80045, USA.
University of Colorado Anschutz Medical Campus, 12401 East 17th Avenue, Mail Stop B113, Aurora, CO 80045, USA.
Thorac Surg Clin. 2020 Aug;30(3):339-346. doi: 10.1016/j.thorsurg.2020.03.001. Epub 2020 Apr 29.
Thoracic surgery is considered one of the most painful surgical procedures performed. Pain is mediated via several mechanisms and is affected by the surgical approach as well as patient factors. Pain after thoracic surgery can be debilitating and lead to poor outcomes, such as respiratory complications, longer hospital stays, poor quality of life, and chronic post-thoracotomy pain syndrome. A multimodal approach to postoperative pain that combines systemic and regional anesthesia has been shown to be the most effective in optimizing analgesia in these patients.
胸外科手术被认为是最疼痛的外科手术之一。疼痛是通过多种机制介导的，并且受到手术方法和患者因素的影响。胸外科手术后的疼痛可能使人虚弱，并导致不良后果，如呼吸并发症、住院时间延长、生活质量差和慢性开胸手术后疼痛综合征。多项研究表明，多模式术后疼痛管理方法，结合全身和区域麻醉，可以最有效地优化这些患者的镇痛效果。
