患者术后疼痛体验：向整体方法的范式转变。
Patient experience of postoperative pain: a paradigm shift to a holistic approach.
作者信息
Benhamou Dan, Forget Patrice
机构信息
Service d'Anesthésie Réanimation, Médecine Péri Opératoire, AP-HP Université Paris Saclay, Hôpital Bicêtre, Bicêtre, France.
Aberdeen Centre for Arthritis and Musculoskeletal Health (Epidemiology Group), Institute of Applied Health Sciences, School of Medicine, Medical Sciences and Nutrition, Aberdeen, UK; Anaesthesia Department, NHS Grampian, Aberdeen, UK; IMAGINE UR UM 103, Montpellier University, Anesthesia Critical Care, Emergency and Pain Medicine Division, Nîmes University Hospital, Nîmes, France; Pain and Opioids After Surgery (PANDOS) European Society of Anaesthesiology and Intensive Care (ID ESAIC_RG_PAND) Research Group, Brussels, Belgium.
出版信息
Br J Anaesth. 2025 Jun;134(6):1603-1605. doi: 10.1016/j.bja.2025.03.009. Epub 2025 Apr 17.
Postoperative pain has many unwanted consequences as it delays immediate recovery and may be a factor leading to chronification of pain. Although many studies have shown a link between acute postoperative pain and persistent pain, many other factors may play a role. Maurice-Szamburski and colleagues have shown that acute postoperative pain is not directly associated with the occurrence of chronic pain, but that the pain component of the Evaluation du Vécu de l'Anesthésie Générale (EVAN-G) questionnaire is associated with this outcome. As EVAN-G is a questionnaire that focuses on the patient experience after surgery, this is in line with the suggestion that unidimensional pain scores are not sufficient to assess the quality of recovery, and that both clinical studies and practice should move towards a more holistic approach after surgery.
术后疼痛会带来许多不良后果，因为它会延迟即时恢复，并且可能是导致疼痛慢性化的一个因素。尽管许多研究表明急性术后疼痛与持续性疼痛之间存在联系，但许多其他因素也可能起作用。莫里斯 - 桑布尔斯基及其同事表明，急性术后疼痛与慢性疼痛的发生并无直接关联，但是《全麻体验评估问卷》（EVAN - G）中的疼痛部分与这一结果相关。由于EVAN - G是一份关注患者术后体验的问卷，这与以下观点一致，即单一维度的疼痛评分不足以评估恢复质量，临床研究和实践在术后都应朝着更全面的方法发展。
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