中国医学科学院学报

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中国医学科学院学报

中国医学科学院学报 ›› 2016, Vol. 38 ›› Issue (4): 458-463.doi: 10.3881/j.issn.1000-503X.2016.04.016

• 综述 • 上一篇    下一篇

规范化术后多模式镇痛治疗对加速腹盆部手术后康复的意义

申乐, 黄宇光()   

  1. 中国医学科学院 北京协和医学院 北京协和医院麻醉科,北京 100730
  • 收稿日期:2016-04-07 出版日期:2016-08-20 发布日期:2016-08-20
  • 作者简介:

    通信作者:黄宇光 电话:010-69152058,电子邮件:garybeijing@163.com

  • 基金资助:
    国家自然科学基金(31070930、81200869)

Role of Postoperative Multimodal Analgesia in Abdominal and Pelvic Enhanced Recovery after Surgery

Le SHEN, Yu-guang HUANG()   

  1. Department of Anesthesiology,PUMC Hospital,CAMS and PUMC,Beijing 100730,China
  • Received:2016-04-07 Online:2016-08-20 Published:2016-08-20
  • Supported by:
    Supported by the National Natural Sciences Foundation of China (31070930,81200869)

摘要:

加速术后康复(ERAS)旨在通过围术期多学科联合的临床路径干预管理,改善并加速手术患者的术后康复。术后镇痛治疗是ERAS的重要组成部分之一。2012年至今,国际ERAS学会先后发布了7部关于腹盆部手术的ERAS指南,所有这些指南均指出规范化术后多模式镇痛治疗可以显著改善术后镇痛效果、加速术后康复。胸段硬膜外镇痛是腹盆部手术后镇痛治疗的基础方案。此外,多模式镇痛治疗还需要综合应用多种辅助镇痛方式和药物共同达到ERAS目的。本文主要综述这7部ERAS指南中与术后镇痛治疗相关的推荐意见,为实施规范化术后多模式镇痛治疗提供参考依据。

关键词: 加速术后康复, 术后多模式镇痛, 指南

Abstract:

Enhanced recovery after surgery (ERAS) is to achieve early recovery for patients undergoing major surgery through multimodal perioperative care pathways. Treatment of postoperative pain is of great importance for ERAS. From 2012 to now,the ERAS Society has published seven international guidelines for the abdominal or pelvic surgeries. Each of these guidelines recommended a standardized postoperative multimodal analgesia protocol to improve pain relief and postoperative recovery. Upon these guidelines,thoracic epidural analgesia should be the primary choice for postoperative analgesia of either abdominal and pelvic surgeries. Meanwhile,postoperative multimodal analgesia should contain multiple methods and drugs. In this review,we ellucidate the recommendations on postoperative multimodal analgesia from these seven ERAS guidelines,so as to facilitate the implementation of standardized postoperative multimodal analgesia.

Key words: enhanced recovery after surgery, postoperative multimodal analgesia, guideline

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