围术期目标导向全程镇痛管理中国专家共识(2021版)

Expert consensus for comprehensive goal-directed perioperative analgesia management in China(2021)

临床上开展术后镇痛20余年,但术后镇痛不足仍然十分普遍。因此,全程有效控制疼痛达到无缝衔接,是减少患者伤害性应激反应、加强术后快速康复(ERAS)、预防术后慢性疼痛发生的重要措施。本文为围术期目标导向全程镇痛(CGPA)管理的专家共识,目的是通过提高术后镇痛率,降低中重度疼痛发生率,减少疼痛或镇痛相关并发症,提升围术期镇痛满意度和医疗服务满意度,利用信息化手段、互联网平台、智能化镇痛和重要生命体征远程监控手段,实现围术期全时段、全区域、全方位远程监控的个体化镇痛,提高围术期镇痛质量。

The postoperative analgesia has developed more than 20 years,but insufficient analgesia is still very common.Comprehensive effective pain control can achieve seamless connection for the perioperative analgesia,including reducing the patient's noxious stress response,enhancing recovery after surgery(ERAS)and preventing postoperative chronic pain.This expert consensus on the management of comprehensive goal-directed perioperative analgesia(CGPA)aims to improve perioperative analgesia satisfaction,reduce the incidence of moderate to severe pain,and decrease analgesia-related complications.Adopting information technology,internet platform,intelligent analgesia and remote monitoring of important vital signs to achieve individual and full time perioperative analgesia,we can improve the quality and safety of perioperative analgesia,enhance postoperative safety,comfort and rapid recovery for the surgical patients.