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围手术期镇痛在骨科手术中的新进展
引用本文:李剑,翁文杰. 围手术期镇痛在骨科手术中的新进展[J]. 中国骨伤, 2012, 25(8): 701-704
作者姓名:李剑  翁文杰
作者单位:南京医科大学临床鼓楼医院骨科, 江苏 南京 210008;南京医科大学临床鼓楼医院骨科, 江苏 南京 210008
摘    要:骨科手术后疼痛不仅给患者带来诸多的不利影响,而且直接影响术后早期康复和活动。有效的围手术期疼痛处理包括术前、术中及术后3个阶段的个体化多模式镇痛,其目的是作用于疼痛产生的多个平面、立体化多方面镇痛,强化镇痛效果,减少单一药物的用量和不良反应。本文就骨科围术期个体化多模式镇痛概念、疼痛的评估方式、各种常用的治疗方式的新进展进行了综述。

关 键 词:手术期间  镇痛  外科手术  综述文献
收稿时间:2011-12-26

Preoperative analgesia in orthopaedic surgery
LI Jian and WENG Wen-jie. Preoperative analgesia in orthopaedic surgery[J]. China journal of orthopaedics and traumatology, 2012, 25(8): 701-704
Authors:LI Jian and WENG Wen-jie
Affiliation:Department of Orthopaedics, Nanjing Drum Tower Hospital, the Affiliated Hospital of Nanjing Medical University, Nanjing 210008, Jiangsu, China;Department of Orthopaedics, Nanjing Drum Tower Hospital, the Affiliated Hospital of Nanjing Medical University, Nanjing 210008, Jiangsu, China
Abstract:Orthopaedic postoperative pain not only brings a lot of side effects to patients,but also directly affects early rehabilitation after surgery. Effective preoperative pain management mainly includes three-stage individual pattern analgesia,which refers to preoperative,intraoperative and postoperative analgesia. The purpose is to reduce pain in multiple planes and three-dimension,strengthen the effect of analgesics and reduce dosage and side effect of single drug. This paper summaries new progress on individual-multiple-pattern analgesics,pain assessment method and various therapies.
Keywords:Intraoperative period  Analgesia  Surgical procedures,operative  Review literature
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