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慢性术后疼痛:普遍存在但评估不足:叙述性综述。

Chronic postoperative pain: ubiquitous and scarcely appraised: narrative review.

机构信息

Universidade Estadual Paulista (UNESP), Departamento de Especialidades Cirúrgicas e Anestesiologia, Botucatu, SP, Brazil.

Universidade Federal de Santa Maria, Departamento de Cirurgia, Santa Maria, RS, Brazil.

出版信息

Braz J Anesthesiol. 2021 Nov-Dec;71(6):649-655. doi: 10.1016/j.bjane.2020.10.014. Epub 2021 Feb 18.

Abstract

The International Association for the Study of Pain chose pain prevention as the theme for the 2020 Global Year. Chronic postoperative pain is one the many types of pain that can be potentially prevented. It develops or increases in severity after a surgery, persists for at least three months, even after ruling out all other possible causes of pain. To perform the present narrative review, the authors searched the PubMed database using the following keywords "postoperative pain" OR "postsurgical pain" AND "chronic" OR "persistent". The present review focused on the incidence, pain development and chronification, and predisposing factors. It also discusses prevention, diagnosis, and treatment of chronic postoperative pain. Awareness of occurrence of chronic postoperative pain and recognizing risk factors is crucial for the day-to-day practice of the anesthesiologist. Hence, numerous surgical patients can have their outcome improved by preventing chronic postoperative pain, a condition scarcely identified and without a well-established treatment.

摘要

国际疼痛研究协会选择疼痛预防作为 2020 年全球年的主题。慢性术后疼痛是一种潜在可预防的疼痛类型。它在手术后发展或加重,持续至少三个月,即使排除了所有其他可能的疼痛原因。为了进行本次叙述性综述,作者使用以下关键词在 PubMed 数据库中进行搜索:“术后疼痛”或“手术后疼痛”和“慢性”或“持续”。本次综述重点介绍了发病率、疼痛发展和慢性化以及易患因素。它还讨论了慢性术后疼痛的预防、诊断和治疗。了解慢性术后疼痛的发生并认识到风险因素对麻醉师的日常实践至关重要。因此,通过预防慢性术后疼痛可以改善许多手术患者的预后,这种情况尚未得到充分认识,也没有经过良好验证的治疗方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2f5c/9373680/5f86ace407dc/gr1.jpg

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