围术期应激反应的控制——舒适麻醉和舒适医疗的重要环节和措施

Perioperative Stress Reaction Regulation—An Important Strategy in the Implementation of Comfortable Anesthesia and Medical Care

围术期应激反应是有疾病、麻醉、手术等多种因素诱发的以交感-肾上腺髓质和下丘脑-垂体-肾上腺皮质功能增强为主要特点的非特异性全身反应,不利于手术患者的转归。应增强整体麻醉和舒适麻醉的观念,重视应急反应对机体的损害,通过有效的指标监测围术期应激反应,并且采取综合措施预防和治疗,从而实现舒适麻醉和舒适医疗。

Perioperative stress reactions are nonspecific general responses induced by diseases,anesthesia and operations,and specialized as the over-excitation of sympathetic-adrenomedullary system and hypothalamus-pituitaria-adrenal gland cortex system.Stress reactions do harms to patients postoperative outcomes,Clinical anesthesiologists should pay close attention to the influences of stress reaction on patients operations and postoperative outcome,their regulations and preventions by reasonable monitoring,indexes,and strategies,to perform the comfortable anesthesia and medical care.