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华西医学  2015 

日间腹腔镜胆囊切除术多模式镇痛的临床进展

DOI: 10.7507/1002-0179.20150619, PP. 2175-2178

Keywords: 日间腹腔镜胆囊切除术,术后疼痛,多模式镇痛

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Abstract:

日间腹腔镜胆囊切除术(ALC)是安全、有效节约资源、提高医院效率的术式,正在逐渐被接受并迅速发展。足够的术后镇痛效果是决定ALC患者术后是否出现疼痛相关并发症、是否可以早期安全离院的重要因素。多模式镇痛是伍用不同镇痛药物或镇痛方法,有效减少伤害刺激及其应激反应,稳定机体内环境,同时较单模式镇痛具有更少副作用,以实现最佳镇痛效果,提高患者术后恢复质量。ALC患者24h内离院的特殊性,促使国内外ALC围手术期镇痛技术已逐渐由单模式镇痛向多模式镇痛转变。现探讨ALC术后疼痛特点及疼痛产生机制,并对目前ALC多模式镇痛现状及其进展作一综述,进而对其发展趋势进行展望,为临床ALC合理运用多模式镇痛提供参考。

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