关注术后镇痛和镇痛药的合理应用

Focus on postoperative analgesia and rational use of analgesics

合理应用镇痛药控制术后疼痛是提高手术治疗效果、改善患者生存质量和预后的重要措施。国内外相关指南均推荐采用多模式镇痛、预防性镇痛、加强围术期目标导向全程镇痛管理等方法控制术后疼痛。但术后镇痛方式和/或镇痛药不合理应用的现象仍普遍存在,部分患者对术后镇痛治疗的满意度不高。术前对患者进行镇痛方法和镇痛药使用相关知识教育、对临床相关科室医师加强术后疼痛治疗的继续教育、医院层面设立急性疼痛服务管理组,对提高术后镇痛满意度和合理应用镇痛药、改善患者预后有重要的临床意义。

The rational application of analgesics to control postoperative pain is an important measure to improve the efficacy of surgical treatment and the quality of life and prognosis of patient.The multi⁃mode analgesia,preventive analgesia,and the perioperative goal⁃oriented whole process analgesia management were recommended to control postoperative pain in relevant guidelines at home and abroad.However,irrational use of modes of analgesia and/or analgesics is still common and some patients are not satisfied with postoperative pain management.It is of high clinical significance to provide patient education with analgesic method and drug use before operation,enhance the continued medical education about postoperative pain management for doctors in related clinical departments,set up acute pain service management group at the hospital level for improvement of the satisfaction of postoperative analgesia,rational use of anal⁃gesics,and the prognosis of patients.