介入手术围手术期疼痛管理

Perioperative pain management in interventional surgery

介入手术相关疼痛可能发生在术中和术后,其程度主要取决于手术类型和复杂程度。开展介入手术围手术期疼痛管理的目的是达到标准化治疗,促进镇静和疼痛管理的安全性和有效性。规范的疼痛管理可以提高患者术中配合程度及术后生活质量,避免治疗不足,降低不良结果出现的可能性。目前专门针对介入手术围手术期疼痛管理的文献极少。尽管已有不同的介入术中镇静镇痛和围手术期镇痛方案,但尚缺乏有力的文献支持和评估。本文就介入手术相关疼痛及围手术期镇静镇痛管理作一综述。

The interventional procedure-related pain may occur during intraoperative and postoperative period, and the degree of pain depends mainly on the type and complexity of the procedure. The purpose of conducting perioperative pain management in interventional surgery is to achieve standardized treatment, to promote the safety and effectiveness of the sedation use and pain management. Standardized pain management can improve patient’s intraoperative cooperation degree and postoperative quality of life, which can avoid treatment deficiency and reduce the possibility of adverse results. So far, there is few published papers on perioperative pain management in interventional surgery. Although there are a variety of available protocols used for intraoperative sedation and perioperative analgesia, the evidence-supported evaluation papers concerning interventional perioperative pain management is still lacking. This paper aims to make a comprehensive review about the management of the intervention-related pain and interventional perioperative sedation and analgesia.(J Intervent Radiol, 2022, 31: 1015-1019)