期刊文献+

麻醉和镇痛技术对外科手术预后的影响 被引量:10

下载PDF
导出
摘要 对一些外科手术而言,选择适当的镇痛技术可有效地预防一些术后不良反应与并发症。良好的镇痛可减轻疼痛的强度,减少镇痛药物的副作用,使患者术后感到更加舒适。而且,充分的镇痛也可加快患者术后的康复。阿片类和(或)非阿片类药物与局部镇痛技术的联合应用不仅提高了镇痛效果,也减少了阿片类镇痛药的用量及一些诸如恶心、呕吐和肠功能恢复时间延长等不良反应的发生。尽管尚未有资料证明局部镇痛和麻醉可以减少术后死亡率,但有证据表明其可减少腹部大手术后的肺部并发症,对于整形外科患者术后的恢复也有很大的益处。当然,在选择镇痛技术时,也要考虑成本与效益。
出处 《临床军医杂志》 CAS 2006年第1期91-94,共4页 Clinical Journal of Medical Officers
  • 相关文献

参考文献18

  • 1Kehlet H,Willmore D W.Multimodal strategies to improve suigical outcome[J].Am J Surg,2002,183:630-644. 被引量:1
  • 2Macrae W A.Chronic pain after surgery[J].Br J Anaesth 2001,81:88 -98. 被引量:1
  • 3Oscarsson A,Eintrei C,Anskar S,et al.Troponin T-values provide long-term prognsis in elderly patients undergoing non-cardiac surgery[J].Acta Anaesthesial Scand,2004,48:1071-1079. 被引量:1
  • 4Walder B,SchaferM,Henzi L,Tramer M R.Efficacy and safety of patient-controlled opioid analgesia for acute postoperative painA quantitative systematic review[J].Acta Anaesthesial Scand,2001,45:795-804. 被引量:1
  • 5Block B M Liu S S,Rowlingson A J,Cowan A R,Cowan J A,Wu CL Efficacy of postoperative epidural analgesia:a meta-analysis[J].JAMA,2003,290:2455-2463. 被引量:1
  • 6Buvanendran A Kroin J S,Tuman K J,et al.Effects of perioperative administration of a selective cyclooxygenase 2 inhibitor on pain management and recovery of function after knee replacemenl a randomized controlled trial[J].JAMA,2003,290:2411 -2418. 被引量:1
  • 7Subramanian K,Subramanian B,Steinbrook R A.Ketamine as adjuvant to opioids:a quantitative and qualitative systematic review[J].Anesth Analg,2004,98:482 -495. 被引量:1
  • 8Turan A Karamanlioglu B,Mennis D,et al.Analgesic effect of gabapentin after spinal surgery[J].Anesthesiology,2004,100:935-938. 被引量:1
  • 9Aubrun F,Kalfon F,Motter P,et al.Adjunctive analgesia with intravenous propacatamol does not reduce morphine related adverse events[J].Br J Anaesth,2003,;90:31-49. 被引量:1
  • 10Tramer M R,Walder B.Efficacy and adverse effects of prophylactic antiemetics during patient-controlled analgesia therapy:a quantitative systematic review[J].Anesth Analg,1999,88:1354-1361. 被引量:1

同被引文献49

引证文献10

二级引证文献26

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部