胸腔镜术后镇痛的治疗研究进展

<正>随着腔镜技术的不断发展与成熟，胸腔镜手术已成为胸外科治疗疾病的主流与共识^1]。与传统开胸手术相比，胸腔镜手术无需牵开肋骨，手术切口小，显著减轻手术创伤及术后疼痛。但是仍有80%的胸腔镜手术患者因术中损伤胸壁神经、肌肉及内脏组织，术后胸腔引流管对手术切口造成刺激等因素诱发中重度疼痛^2]。术后疼痛通常使患者不敢用力呼吸和咳嗽，导致呼吸道分泌物无法正常排出，从而引起肺部感染和肺不张等肺部术后并发症，

Treatment and Research Progress in Reating Pain after Thoracoscopy Surgery

Moderate to severe pain in patients after thoracoscopy will lead to lung infection, atelectasis and other complications, which will seriously affect the quality of life and postoperative rehabilitation of patients. How to implement effective analgesia has always been the focus of thoracic surgery. At present, there are many treatment methods used in traditional Chinese and western medicine for pain after thoracoscopy. Each analgesic method has its own advantages and disadvantages. The concept of multi-mode analgesia has been widely recognised and has become the development trend of perioperative analgesia treatment.