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中华普通外科学文献(电子版) ›› 2022, Vol. 16 ›› Issue (02) : 146 -150. doi: 10.3877/cma.j.issn.1674-0793.2022.02.013

综述

加速康复外科理念下围手术期疼痛管理在日间腹腔镜阑尾切除术中的应用
高晋鸿1, 郝少龙1, 刘勇1, 韩威1, 翁以炳2,()   
  1. 1. 101100 首都医科大学附属北京潞河医院普通外科
    2. 101100 首都医科大学附属北京潞河医院重症医学科
  • 收稿日期:2021-12-21 出版日期:2022-04-01
  • 通信作者: 翁以炳
  • 基金资助:
    北京市通州区科委科技创新专项项目(KJ2021CX008-22); 北京市通州区科技计划项目(KJ2021CX008-24)

Application of perioperative pain management under the concept of enhanced recovery after surgery in ambulatory laparoscopic appendectomy

Jinhong Gao1, Shaolong Hao1, Yong Liu1, Wei Han1, Yibing Weng2,()   

  1. 1. Department of General Surgery, the Affiliated Beijing Luhe Hospital to the Capital University of Medical Sciences, Beijing 101100, China
    2. Department of Intensive Care Unit, the Affiliated Beijing Luhe Hospital to the Capital University of Medical Sciences, Beijing 101100, China
  • Received:2021-12-21 Published:2022-04-01
  • Corresponding author: Yibing Weng
引用本文:

高晋鸿, 郝少龙, 刘勇, 韩威, 翁以炳. 加速康复外科理念下围手术期疼痛管理在日间腹腔镜阑尾切除术中的应用[J]. 中华普通外科学文献(电子版), 2022, 16(02): 146-150.

Jinhong Gao, Shaolong Hao, Yong Liu, Wei Han, Yibing Weng. Application of perioperative pain management under the concept of enhanced recovery after surgery in ambulatory laparoscopic appendectomy[J]. Chinese Archives of General Surgery(Electronic Edition), 2022, 16(02): 146-150.

近年来,加速康复外科(ERAS)理念得到了较为迅速的普及和应用。急性阑尾炎是普通外科的常见病,腹腔镜阑尾切除术(LA)已成为首选的治疗方式,围手术期疼痛管理对患者的快速康复非常重要。通过术前宣教、术前及术后良好的疼痛评估、个性化的镇痛方案等规范化的流程可取得良好的镇痛效果,促进患者快速康复,契合了日间手术的发展模式,最大化利用医疗资源。本文就目前ERAS理念下的围手术期疼痛管理在日间LA中的应用进行综述,以期为优化疼痛管理流程及日间LA的开展提供参考。

In recent years, the concept of enhanced recovery after surgery (ERAS) has been popularized and applied more rapidly in many countries. Acute appendicitis is a common disease in general surgery, while laparoscopic appendectomy (LA) has become the preferred treatment. The perioperative pain management of LA under the concept of ERAS can achieve good analgesic effects through standardized procedures such as preoperative education, good preoperative and postoperative pain assessment, and personalized analgesia plans, so as to promote rapid recovery of patients, which fits the development model of ambulatory surgery and maximizes the utilization of medical resources. Therefore, this article summarizes the application of perioperative pain management under the concept of ERAS in ambulatory LA , in order to provide reference for optimizing the perioperative pain management process of LA and the implementation of ambulatory LA.

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