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快速康复理念下剖宫产术后多模式镇痛的研究进展

Research progress of multimodal analgesia after cesarean section under the concept of enhanced recovery after surgery

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【作者】 丁维思张红张冉冯艺刘国莉赵婉璐安海燕

【Author】 DING Wei-si;ZHANG Hong;ZHANG Ran;FENG Yi;LIU Guo-li;ZHAO Wan-lu;AN Hai-yan;Department of Anesthesiology, Peking University People’s Hospital;Department of Obstetrics, Peking University People’s Hospital;

【通讯作者】 安海燕;

【机构】 北京大学人民医院麻醉科北京大学人民医院妇产科

【摘要】 为了减少产妇术后疼痛、促进产妇术后快速恢复以及保障婴儿健康,剖宫产术后的镇痛方案一直在不断完善。其中多模式镇痛是剖宫产术后快速康复(enhanced recovery after cesarean, ERAC)的重要组成部分,做好剖宫产术后的多模式镇痛是十分必要的。为尽量减少阿片类药物的不良反应,非阿片类药物与区域阻滞的应用逐渐增多,多模式镇痛方案也在逐步完善。然而,到目前为止,关于剖宫产术后的多模式镇痛方案仍存在争议,尚无最佳方案出现。本文总结了目前剖宫产术后的多模式镇痛方案,并为多模式镇痛方案的发展提供思路。

【Abstract】 To alleviate postoperative pain, expedite the recovery process for women after surgery, and ensure the well-being of infants, the postoperative analgesia program for cesarean section is continuously being enhanced. Multimodal analgesia is a crucial component of enhanced recovery after cesarean(ERAC), and need to be successfully implemented. In efforts to minimize opioid-related adverse effects, the utilization of non-opioid medications and nerve blocks have progressively increased, leading to gradual improvements in multimodal analgesia protocols. Nonetheless, the approach of multimodal analgesia following cesarean sections remains a topic of debate, and lack a definitive optimal strategy. This article endeavors to outline the existing multimodal analgesia protocols applied after cesarean section while offering insights for future advancements in this area.

  • 【文献出处】 中国疼痛医学杂志 ,Chinese Journal of Pain Medicine , 编辑部邮箱 ,2024年07期
  • 【分类号】R614
  • 【下载频次】71
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