妇科开腹术后多模式镇痛的研究进展

Deveopment of multi-modal for gynecological laparotomy postoperative analgesic

多模式镇痛主要是采用不同作用机制的药物,如阿片类药、COX2抑制剂等,不同镇痛方法,如硬膜外阻滞及其他周围神经阻滞等,对产生术后疼痛机制的不同层面、不同靶位予以阻滞,以期实现平衡镇痛,减少神经、内分泌、免疫系统等不利影响,有助于内环境的稳定和术后患者的康复。多模式镇痛是目前控制急性术后疼痛选用的主要镇痛模式之一。本文就其在妇科开腹术后镇痛中应用的意义及比较多模式镇痛中各种药物和方法,为妇科开腹术后镇痛的选择提供参考。

Multi--modal analgesic drugs with different mechanisms of action, such as opioids, COX2 inhibitors, different analgesic methods, Epidural anesthesia and other peripheral nerve block, postoperative pain mechanisms at different levels, different targets to be block. In order to achieve bal- anced analgesia to reduce the adverse impact of the nervous, endocrine, immune system, Contribute to the stability of the internal environment and the postoperative rehabilitation. The multimodal analgesic is one of the optional control acute postoperative pain analgesic mode. In this paper, the significance of its application in the in gynecological laparotomy postoperative analgesic and multi--mode analgesic drugs and methods, Provides reference to for gynecological laparotomy postoperative analgesic choice.