摘要
剖宫产术后慢性疼痛(chronic post-caesarean section pain,CPCSP)是常见的临床问题,可影响产妇的生活质量、母婴关系,甚至可导致产妇抑郁,但临床上常被忽视。文章综述了CPCSP的特点、疼痛评估方法、危险因素及临床对策。CPCSP的发生机制复杂,主要与孕产妇自身、麻醉和手术三方面因素相关,危险因素主要包括术前疼痛病史、社会经济支持不足、抑郁、遗传学因素、手术操作及术后急性疼痛等,相关因素导致CPCSP的机制仍有待进一步研究。目前的临床策略以预防为主,重点在于识别高风险人群和做好术后急性疼痛管理。
The chronic post-caesarean section pain(CPCSP)is a common clinical problem,and it affects the quality of life and the relationship between the baby and the maternity,and even leads to depression,which is often neglected in clinical practice.This review aims to summarize the characteristics,the methods of pain assessment,risk factors and clinical strategies of CPCSP.The risk factors are broadly categorized into patient-,anesthetic-,surgical-related factors,including past pain experiences,socioeconomic deprivation,depression and genetics,type of surgical techniques of cesarean section,and postoperative acute pain.The mechanism of CPCSP caused by related factors remains to be further studied.Current clinical strategies focus on prevention,with emphasis on identifying high-risk groups and managing postoperative acute pain.
作者
简超君
陈培伟
许学兵
王寿平
Jian Chaojun;Chen Peiwei;Xu Xuebing;Wang Shouping(Department of Anesthesiology,the Third Affiliated Hospital of Guangzhou Medical University,Guangzhou 510150,China;Department of Anesthesiology,the University of Hong KongShenzhen Hospital,Shenzhen 518053,China;Department of Anesthesiology,Shenzhen Baoan Maternity&Child Health Hospital,Shenzhen 518133,China)
出处
《国际麻醉学与复苏杂志》
CAS
2020年第9期909-914,共6页
International Journal of Anesthesiology and Resuscitation
关键词
剖宫产
慢性疼痛
危险因素
Cesarean section
Chronic pain
Risk factor
