肩关节镜围手术期镇痛新进展

肩关节镜围手术期成功的镇痛可以让患者早日出院,提高患者围手术期生活质量,有利于患者术后初步的康复。综合的围手术期镇痛方法应包括术前、术中及术后3个阶段。术前良好的医患沟通是成功镇痛的第1步,在术前即应使用镇痛措施;术中镇痛包括局部伤口浸润、关节内麻醉药物的管理;术后镇痛应包括口服镇痛药物、恒速输注设备、患者自控镇痛、镇静催眠药的使用、持续低温疗法以及补充替代疗法。

Progress on pain control during the perioperative period of shoulder arthroscopy

Successful pain management of perioperative shoulder arthroscopy may allow patients to go home earlier,improve the quality of life in perioperative period,and facilitate rehabilitation. A comprehensive method to perioperative pain control has three stages including preoperative,intraoperative and postoperative phase. Successful pain reduction should begin preoperatively because of an excellent communication between patient and physician,moreover,preoperative analgesia also should be administered. Intraoperative efforts should include local wound infiltration and the administration of anesthetic medication intra articularly. Postoperative management should include oral analgesics,constant infusion devices,Patient Controlled Analgesia(PCA),sedative hypnotic drug,continuous cryotherapy and vicarious treatment.