|
| 急性术后疼痛危险因素和疼痛程度预测方法的研究进展 |
| Research progress on risk factors and pain degree prediction methods of acute postoperative pain |
| |
| DOI：10.12089/jca.2022.02.017 |
| 中文关键词: 急性术后疼痛 危险因素 疼痛程度 预测方法 |
| 英文关键词: Acute postoperative pain Risk factors Pain degree Prediction methods |
| 基金项目:国家自然科学基金（81901139） |
|
| 摘要点击次数: 1518 |
| 全文下载次数: 644 |
| 中文摘要: |
| 急性术后疼痛（APP）是患者受到手术刺激后出现的一系列生理、心理及行为反应等，主要集中在术后24～72 h，常持续4～6 d。APP严重影响手术预后，而导致患者APP治疗不充分的原因较多，因此，APP的管理重点在于对疼痛的评估和预防，充分理解和掌握APP危险因素和疼痛程度预测方法对于APP的管理十分必要。APP的危险因素包括人口社会学因素、心理因素、术前疼痛及阿片类药物的使用、手术、麻醉相关因素等。APP程度预测方法包括镇痛监测指标、局部浸润麻醉疼痛评分、外周静脉针留置疼痛评分、定量感觉检查、疼痛敏感度问卷、脑电图等。全文主要就其在急性术后疼痛危险因素和疼痛程度预测方法的进展进行综述，为临床应用提供参考。 |
| 英文摘要: |
| Acute postoperative pain (APP) is a series of physical, psychological, and behavioral reactions in patients after surgeries, which mainly focuses on 24-72 hours after surgery and usually lasts for 4-6 days. Many reasons can lead to inadequate treatment of APP in patients, which seriously affects the prognosis of surgery. Therefore, the management of APP should focuse on the assessment and prevention of pain. It is necessary to fully understand and master the risk factors and prediction methods of APP. The risk factors of APP include demographic factors, psychological factors, preoperative pain, opioid use, surgical and anesthesia related factors, etc. And the prediction methods of pain degree include analgesia monitoring indicators, local infiltration anesthesia pain score, peripheral intravenous needle indwelling pain score, quantitative sensory examination, pain sensitivity questionnaire, and electroencephalogram, etc. In this paper, the progress on risk factors and pain degree prediction methods of acute postoperative pain were reviewed in order to provide reference for clinical application． |
|
查看全文
查看/发表评论 下载PDF阅读器 |
| 关闭 |
|
|
|
