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| 胸腔镜肺叶切除术的快速康复外科多模式镇痛管理 | |
| 引用本文： | 段函宇,刘子嘉,许广艳,拉巴次仁. 胸腔镜肺叶切除术的快速康复外科多模式镇痛管理[J]. 中国医学科学院学报, 2021, 43(1): 136-143. DOI: 10.3881/j.issn.1000-503X.12758 |
| 作者姓名： | 段函宇 刘子嘉 许广艳 拉巴次仁 |
| 作者单位： | 1.西藏自治区人民医院麻醉科,拉萨 850000;2.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 |
| 摘 要： | 胸腔镜手术(VATS)是肺叶切除术的主要手术方式,多模式镇痛则是VATS快速康复外科(ERAS)管理的核心内容,其目的在于管理围手术期疼痛,减少患者应激反应,实现术后全面的早期康复。近年来,多模式镇痛不断发展更新,强调综合应用多种镇痛方式和不同机制镇痛药物的协同治疗。本文总结了VATS肺叶切除术多模式镇痛应用的新进展,提出了存在的问题和挑战,以期制定更为有效、实用的ERAS镇痛方案。 |
| 关 键 词： | 多模式镇痛 快速康复外科 胸腔镜 肺叶切除术 围手术期 |
| 收稿时间： | 2020-03-22 |
Multimodal Analgesia of Enhanced Recovery after Surgery Management in Lobectomy by Video-assisted Thoracoscopic Surgery |
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| DUAN Hanyu,LIU Zijia,XU Guangyan,Laba ciren. Multimodal Analgesia of Enhanced Recovery after Surgery Management in Lobectomy by Video-assisted Thoracoscopic Surgery[J]. Acta Academiae Medicinae Sinicae, 2021, 43(1): 136-143. DOI: 10.3881/j.issn.1000-503X.12758 | |
| Authors: | DUAN Hanyu LIU Zijia XU Guangyan Laba ciren |
| Affiliation: | 1.Department of Anesthesiology,Tibet Autonomous Region People’s Hospital,Lhasa 850000,China;2.Department of Anesthesiology,PUMC Hospital,CAMS and PUMC,Beijing 100730,China |
| Abstract: | Video-assisted thoracoscopic surgery(VATS)has become the main method of lobectomy.Multimodal analgesia is one of the core contents of enhanced recovery after surgery(ERAS)management in VATS lobectomy,which aims to control perioperative pain,reduce stress response,and achieve rapid recovery after surgery.In recent years,multimodal analgesia has developed rapidly,emphasizing the comprehensive implementation of a variety of analgesic methods and the synergistic application of analgesics with different mechanisms.This article reviews the new progress in the implementation of multimodal analgesia in VATS lobectomy and addresses the current problems and challenges,aiming to help develop more effective and practical analgesic strategies of ERAS. |
| Keywords: | multimodal analgesia enhanced recovery after surgery video-assisted thoracoscopic surgery lobectomy perioperative period |
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