摘要
由于围手术期阿片类药物的滥用以及阿片类药物带来的副作用,零阿片类药物麻醉(OFA)应运而生,在临床应用方面得到越来越多的关注。OFA是一种通过结合非阿片类药物和/或技术以实现高质量全身麻醉的多模式麻醉。这种麻醉方式避免了在麻醉期间使用阿片类药物,从而避免相应的副作用,同时确保充分的镇痛效果和加速术后恢复。腔镜一开始是用于疾病的检查,但随着技术的进步,使通过更小的切口来实施手术成为可能,腔镜手术的应用也越来越广泛。本文以阿片类药物危机以及副作用为出发点展开综述,阐述OFA的原理以及目前该麻醉策略在腔镜手术中的应用。
Due to the abuse of perioperative opioid and the side effects of opioid,opioid-free anesthesia(OFA)has emerged and attracted more and more attention in clinical application.OFA is a multi-modal anesthesia that combines non-opioid and/or technologies to achieve a high-quality general anesthesia.This anesthesia avoids the use of opioid during anesthesia,thus avoiding corresponding side effects,while ensuring adequate analgesic effects and accelerating postoperative recovery.Laparoscopy was originally used for disease detection,but with the progress of science and technology,it is possible to perform surgery through smaller incision,and laparoscopy surgery is becoming more and more widely used.This article reviews the opioid crisis and side effects as the starting point,and expounds the principle of OFA and the current application of this anesthesia strategy in laparoscopic surgery.
作者
杨瀚雯
李晓霞
YANG Hanwen;LI Xiaoxia(the Second Affiliated Hospital of Chongqing Medical University,Chongqing 400010,China)
出处
《临床医学研究与实践》
2024年第1期194-198,共5页
Clinical Research and Practice
