完善我国术后疼痛管理的思考与建议

Thinking and Suggestions on Improving Postoperative Pain Management in China

术后疼痛对患者围术期体验、术后康复及远期预后具有重要影响,良好的术后疼痛管理能提升围术期生活质量、促进患者功能恢复并降低术后不良并发症的发生。当前,我国的术后疼痛管理仍存在镇痛不规范、镇痛模式单一和患者围术期镇痛满意度较差等问题。近年来,多模式镇痛逐渐成为围术期疼痛管理的核心。基于多模式镇痛理念,进一步改进药物干预方案、进一步加强神经阻滞及硬膜外镇痛技术的应用并进一步提升术后疼痛管理的患者满意度是当前亟需麻醉科医师重视并解决的问题。本文基于回顾我国术后疼痛管理现状,提出改进术后疼痛管理的建议,以促进围术期疼痛管理水平及质量的提高。

Postoperative pain influences perioperative experience, postoperative rehabilitation and long-term prognosis of patients. Comprehensive postoperative pain management can promote perioperative quality of life, functional recovery and reduce the occurrence of postoperative adverse complications. At present, there are still some problems in postoperative pain management in China, such as irregular analgesia, single analgesia mode and poor patients' perioperative analgesia satisfaction. Recently, multi-modal analgesia has gradually become the core of perioperative pain management. Based on the concept of multi-mode analgesia, it is an urgent problem for anesthesiologists to further improve the drug intervention strategy, further strengthen the application of nerve block and epidural analgesia technology, and further enhance the satisfaction of patients with postoperative pain management. Based on the review of the current situation of postoperative pain management in China, this paper puts forward suggestions to improve postoperative pain management, so as to improve perioperative pain management level and quality.