腹腔镜手术后肩痛的危险因素及干预措施研究进展

腹腔镜手术后肩痛是腹腔镜手术后的并发症之一,也是腹腔镜手术后疼痛的主要来源之一,发生率为30%～90%,影响患者术后康复,降低患者满意度。与切口痛比较,腹腔镜手术后肩痛对镇痛药物反应差。因此,尽早识别并给予干预措施防治腹腔镜手术后肩痛的发生,对减轻患者术后疼痛及加速患者术后康复有重要意义。本文对腹腔镜手术后肩痛的危险因素及干预措施进行综述,以期为临床预防及治疗腹腔镜手术后肩痛提供参考。

Research progress on risk factors and intervention measures of postlaparoscopic shoulder pain

Postlaparoscopic shoulder pain (PLSP) is a complication after laparoscopic surgery and one of the main sources of pain after laparoscopic surgery. The incidence of PLSP is 30%-90%, which affects the postoperative rehabilitation and reduces satisfaction of patients. Compared with incision pain, PLSP response poorerly to analgesics. Therefore, it is important to identify and take intervention measures to prevent the occurrence of PLSP as soon as possible to reduce postoperative pain and accelerate postoperative recovery of patients. This article will review the risk factors and intervention measures for PLSP, in order to provide reference for clinical prevention and treatment of PLSP.