【摘要】 目的为多模式镇痛(MMA)在肝胆外科中的应用提供参考。方法总结非甾体抗炎药、对乙酰氨基酚、阿片类镇痛药、麻醉科镇痛药等药物的镇痛效果,静脉用药、局部浸润麻醉、椎管内阻滞、腹膜腔内雾化或滴注、心理干预等镇痛方法,以及MMA在肝胆外科中的应用。结果与结论肝胆外科围术期应用MMA,不仅可显著减少单药用量及不良反应,还可利用药物的协同作用或阻断疼痛反应的不同部位,提高镇痛疗效,有助于患者康复。更多还原

【Abstract】 Objective To provide reference for the application of multimodal analgesia( MMA) in hepatobiliary surgery. Methods The analgesic effect of non-steroidal anti-inflammatory drugs,acetaminophen,opioid analgesics and analgesics in the Department of Anesthesiology were summarized. The analgesic methods such as intravenous medication,local infiltration anesthesia,intrathecal block,intraperitoneal atomization or drip,psychological intervention were summarized,as well as the application of MMA in hepatobiliary surgery. Results and Conclusion The application of MMA in the perioperative period in hepatobiliary surgery can not only significantly reduce the dosage of single drug and adverse drug reactions,but also improve the analgesic effect by using the synergistic effect of drugs or blocking different parts of pain response,which is helpful to the rehabilitation of patients.更多还原