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围手术期多模式镇痛的低剂量阿片类药物治疗对老年患者术后加速康复至关重要。

[The low-dose opioids therapy of perioperative multi-mode analgesia is pivotal to the enhanced recovery after surgery for elderly patients].

作者信息

Wang T L, Mei W

机构信息

Department of Anesthesiology and Operating Theater, Xuanwu Hospital of Capital Medical University, Beijing 100053, China.

Department of Anesthesiology, Tongji Hospital of Huazhong Science and Technology Affiliated Tongji Medical College, Wuhan 430030, China.

出版信息

Zhonghua Yi Xue Za Zhi. 2021 Jan 19;101(3):167-169. doi: 10.3760/cma.j.cn112137-20200629-01982.

DOI:10.3760/cma.j.cn112137-20200629-01982
PMID:33455147
Abstract

The implementation of enhanced recovery after surgery in elderly patients should be under the premise of adequate perioperative analgesia/anti-stress. The aims of perioperative multimodal low-dose opioids analgesia therapy are reducing opioid-related adverse reactions and the impact on process of postoperative recovery.

摘要

老年患者实施术后加速康复应在围手术期充分镇痛/抗应激的前提下进行。围手术期多模式小剂量阿片类药物镇痛治疗的目的是减少阿片类药物相关不良反应以及对术后恢复过程的影响。

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[The low-dose opioids therapy of perioperative multi-mode analgesia is pivotal to the enhanced recovery after surgery for elderly patients].围手术期多模式镇痛的低剂量阿片类药物治疗对老年患者术后加速康复至关重要。
Zhonghua Yi Xue Za Zhi. 2021 Jan 19;101(3):167-169. doi: 10.3760/cma.j.cn112137-20200629-01982.
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Enhanced Recovery After Surgery and Multimodal Strategies for Analgesia.术后加速康复和多模式镇痛策略。
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Reducing New Persistent Opioid Use After Surgery: A Review of Interventions.减少术后新持续性阿片类药物使用：干预措施综述。
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Pain management and opioid stewardship in adult cardiac surgery: Joint consensus report of the PeriOperative Quality Initiative and the Enhanced Recovery After Surgery Cardiac Society.成人心脏手术中的疼痛管理与阿片类药物管理：围手术期质量改进倡议组织和心脏手术加速康复学会联合共识报告
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Integrating complementary medicine in the perioperative period: a simple, opioid-sparing addition to your multimodal analgesia strategy?围手术期整合补充医学：多模式镇痛策略中一种简单、减少阿片类药物的附加方法？
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Implementation of an Enhanced Recovery Protocol (ERP) is associated with an increase in the perioperative use of non-opioid multimodal analgesia for non-ERP patients.实施强化康复方案（ERP）与非ERP患者围手术期非阿片类多模式镇痛的使用增加有关。
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Could epidural analgesia be safely used for acute postoperative pain in older adults to enhance recovery?硬膜外镇痛可否安全用于老年患者的急性术后疼痛以促进康复？
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American Society for Enhanced Recovery and Perioperative Quality Initiative Joint Consensus Statement on Perioperative Management of Patients on Preoperative Opioid Therapy.美国增强恢复和围手术期质量倡议联合共识声明：术前阿片类药物治疗患者的围手术期管理。
Anesth Analg. 2019 Aug;129(2):553-566. doi: 10.1213/ANE.0000000000004018.

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