摘要
精准、微创、有效是21世纪肝脏外科的发展方向,建立肝脏外科无痛病房,实施围手术期规范化疼痛管理是快速康复外科的核心内容,也是精准肝脏外科研究的核心内涵之一.开展医护人员培训、重视疼痛的健康宣教、选择合理的疼痛评估策略、围手术期超前镇痛和多模式镇痛联合使用以及注重个体化镇痛是肝脏外科无痛病房建设的重要内容.积极开展多中心临床研究、探索无痛病房建设的临床路径和围手术期镇痛模式是肝脏外科无痛病房建设发展的方向.
The progress of liver surgery is characterized by precision, minimal invasion and effectiveness in the 21 st century. Establishment of painless liver surgery ward and implementation of pain management in the perioperative period are not only the central content of enhanced recovery after surgery, but also one of the core connotation in precision liver surgery research. Conducting training programs for medical staffs, emphasizing health education of pain, selecting the reasonable pain assessment strategy, combination of preemptive analgesia and multimodal analgesia in the perioperative period and paying attention to individualized analgesia are important contents of construction of painless liver surgery ward. To carry out multicentre clinical study energetically, explore clinical pathway for the construction of painless ward and perioperative analgesic model are the development orientation for the construction of painless liver surgery ward.
出处
《中华消化外科杂志》
CAS
CSCD
北大核心
2014年第6期415-418,共4页
Chinese Journal of Digestive Surgery
基金
基金项目:国家自然科学基金(81172364)
安徽省科技攻关资助项目(1301042199)
安徽省卫生厅医学科研重点基金资助项目(2010A006)
关键词
精准肝脏外科
无痛病房
Precision liver surgery
Painless ward