摘要
急性术后疼痛(acute post-surgical pain,APP)主要由躯体痛和内脏痛组成,疼痛控制不佳可演变为慢性术后疼痛(chronic post-surgical pain,CPSP),影响术后转归。手术微创化减轻了躯体痛程度,但不能减轻内脏痛。因此,内脏痛已成为微创手术APP的主因。文章重点阐述急性术后内脏痛对患者造成的危害、内脏痛觉神经介导通路及其特征、临床表现及诊疗措施等内容,旨在呼吁重视对急性术后内脏痛机制与防治策略的研究,以实现更加舒适化的术后康复。
Acute post⁃surgical pain(APP)consists of somatic pain and visceral pain,and poor pain control may develop into chronic post⁃surgical pain(CPSP)and affect postoperative outcome.Minimally incisive surgeries can reduce somatic pain,rather than visceral pain.Hence,visceral pain becomes the main cause of APP.This review expounds the serious hazards caused by postoperative acute visceral pain,the neural conduction pathway and characteristics,clinical manifestations and evaluation methods,as well as diag⁃nostic and therapeutic measures,and stresses the importance of investigations concerning the mechanism and prevention and treatment of postoperative acute visceral pain,in order to realize the postoperative rehabilitation in a more comfortable manner.
作者
史琪清
李成
陈国忠
Shi Qiqing;Li Cheng;Chen Guozhong(Department of Anesthesiology and Perioperative Medicine,Shanghai Fourth People's Hospital,Tongji University,Shanghai 200434,Chi‑na;Shanghai Key Laboratory of Anesthesiology and Brain Functional Modulation,Shanghai 200434,China;Translational ResearchInstitute of Brain and Brain‑Like Intelligence,Shanghai Fourth People's Hospital,School of Medicine,Tongji University,Shanghai200434,China;Clinical Research Center for Anesthesiology and Perioperative Medicine,Tongji University,Shanghai 200434,China;Department of Anesthesiology,Minhang Hospital,Fudan University,Shanghai 201199,China)
出处
《国际麻醉学与复苏杂志》
CAS
2023年第6期657-661,共5页
International Journal of Anesthesiology and Resuscitation
基金
同济大学附属上海市第四人民医院学科助推计划重大项目(SY-XKZT-2022-1002)
同济大学附属上海市第四人民医院学科助推计划重点项目(SY-XKZT-2021-1008)。
关键词
内脏痛
急性疼痛
慢性疼痛
多模式镇痛
Visceral pain
Acute pain
Chronic pain
Multimodal analgesia
