胸科术后慢性疼痛的研究进展

Research Progress on Chronic Pain after Thoracic Surgery

术后慢性疼痛(chronic post-surgical pain, CPSP)一直是困扰临床医师,并使手术患者备受折磨的一项难题。胸科手术的患者中约有25%~65%术后发展为慢性疼痛。CPSP一旦出现,很难加以治疗。目前,大部分专家认为,预防和治疗CPSP,可通过早期识别高危因素和对高危病人进行干预而达到。本文对CPSP的发病机制、危险因素、预防及治疗进行论述。

Chronic post-surgical pain (CPSP) has always been a difficult problem that troubles clinical physi-cians and torments surgical patients. Approximately 25% to 65% of patients undergoing thoracic surgery develop chronic pain after surgery. Once CPSP appears, it is difficult to treat. Currently, most experts believe that the prevention and treatment of CPSP can be achieved through early identification of high-risk factors and intervention for high-risk patients. This article discusses the pathogenesis, risk factors, prevention, and treatment of CPSP.