文章摘要
孟安娜,葛卫红,谢菡,杨长青.加速康复外科理念在骨科患者术后镇痛中的研究进展[J].药学与临床研究,2017,25(6):515~520
加速康复外科理念在骨科患者术后镇痛中的研究进展
Progress of postoperative analgesia of orthopaedic patients in Enhanced recovery after surgery Protocol
投稿时间:2017-05-17  修订日期:2017-12-13
DOI:
中文关键词: 加速康复外科  骨科手术  术后镇痛  研究进展
英文关键词: ERAS  Orthopaedic surgery  Postoperative analgesia.  Clinical progression
基金项目:
作者单位E-mail
孟安娜 南京大学医学院附属鼓楼医院药学部中国药科大学 445603172@qq.com 
葛卫红 南京鼓楼医院 6221230@sina.com 
谢菡 南京鼓楼医院  
杨长青 中国药科大学  
摘要点击次数: 2318
全文下载次数: 1034
中文摘要:
      加速康复外科(Enhanced recovery after surgery, ERAS)理念是指采用一系列以循证医学为依据的围手术期优化措施来减轻患者的术后创伤应激反应,以达到快速康复的目的。术后镇痛作为快速康复外科环节中非常重要的部分,对患者术后的快速康复影响很大。骨科手术疼痛分级多为中重度,完善的术后疼痛控制,可以改善患者术后的器官功能、远期生活质量和整体功能状态,改善患者的转归。目前ERAS理念应用于围术期镇痛强调多模式镇痛方式,但最佳镇痛方式并未证实。本文通过检索各国文献,对ERAS理念下骨科术后各种镇痛方案的优缺点及最新进展进行综述。
英文摘要:
      ERAS Protocol that focuses on optimizing clinical procedures by adopting evidence-based practice, enable orthopaedic surgery patients to recover more quickly with lower rates of morbidity and improved longer term outcomes. Pain may affect surgical outcomes, Optimal pain management is critical after orthopaedic surgery. Orthopaedic surgeries are often associated with moderate to severe pain, optimal pain management can improve the postoperative organ function and quality of life and main functional status in orthopaedic surgery patients, improve their clinical outcomes. The management of postoperative pain using multimodal analgesia is a key component of ERAS. But the optimal pain management has not been proven yet. This article serves to review progress, strongpoint and shortcoming of postoperative analgesia of orthopaedic patients in Enhanced recovery after surgery Protocol by retrieving publications.
查看全文   查看/发表评论  下载PDF阅读器
关闭