ERAS理念下多模式镇痛在麻醉管理中的应用与优化

韦 钰荣1, 龚 敬聪1, 李 喜松2
1、右江民族医学院研究生院
2、右江民族医学院附属西南医院(百色市人民医院)

摘要


加速康复外科(ERAS)的理念是通过优化术前、术中、术后全流程管理,而术中麻醉维持及术后麻醉恢复
质量是重要影响因素。多模式镇痛最大限度降低手术及麻醉应激反应,缩短住院时间并加速功能恢复。不同的外科
手术可联合多模式镇痛达到良好的镇痛效果,因其依托多靶点、多机制协同镇痛原理,联合不同镇痛药物与区域阻
滞技术,可有效实现阿片节俭、降低不良反应、改善术后疼痛体验,是ERAS麻醉管理的核心组成部分。

关键词


加速康复外科;多模式镇痛;围术期;麻醉管理

全文:

PDF


参考


[1]Kehlet H. Enhanced recovery after surgery[J]. Dan

Med J, 2022,69(12).

[2]Pędziwiatr M, Wierdak M, Nowakowski M, et

al. Cost minimization analysis of laparoscopic surgery for

colorectal cancer within the enhanced recovery after surgery

(ERAS) protocol: a single-centre, case-matched study[J].

Wideochir Inne Tech Maloinwazyjne, 2016,11(1):14-21.

DOI:10.5114/wiitm.2016.58617.

[3]Ashok A, Niyogi D, Ranganathan P, et al. The

enhanced recovery after surgery (ERAS) protocol to promote

recovery following esophageal cancer resection[J]. Surg

Today, 2020,50(4):323-334.DOI:10.1007/s00595-020-

01956-1.

[4]Fallon F, Moorthy A, Skerritt C, et al. Latest

Advances in Regional Anaesthesia[J]. Medicina (Kaunas),

2024,60(5).DOI:10.3390/medicina60050735.

[5]Guo Y, Wang J, Jiang P, et al. Effect of erector

spinae plane block with different doses of dexmedetomidine

as adjuvant for ropivacaine on the postoperative quality

of recovery after video-assisted thoracoscopic lobectomy

surgery: a randomized controlled trial[J]. BMC Anesthesiol,

2023,23(1):264.DOI:10.1186/s12871-023-02231-9.

[6]王紫莹,秦泽.右美托咪定联合氟比洛芬酯在骨

科创外切开复位内固定术后镇痛泵中的应用效果[J].疾病

防治与康复,2026,27(2):114-116.

[7]Wu W, Xu H, Chen X, et al. Comparison of erector

spinae plane block and serratus anterior plane block for

postoperative analgesia in uniportal thoracoscopic lobectomy:

a randomized controlled trial[J]. BMC Anesthesiol,

2023,23(1):394.DOI:10.1186/s12871-023-02353-0.

[8]Ferrari F, Forte S, Sbalzer N, et al. Validation of an

enhanced recovery after surgery protocol in gynecologic

surgery: an Italian randomized study[J]. Am J Obstet Gynecol,

2020,223(4):541-543.DOI:10.1016/j.ajog.2020.07.003.

[9]刘喜鹏.快速康复外科(ERAS)在四肢骨折患者

围手术期的应用[C]//:2026智能化背景下健康管理经验

交流会,中国重庆,2026.

[10]刘威,吴蓍妍,张彩琳,等.快速康复外科理念

中的超前镇痛联合多模式镇痛在椎间孔镜围术期的应用

[J].新疆医学,2023,53(3):268-270.

[11]Lu W, Huang S, Ye H, et al. The application

of ERAS in pilonidal sinus: comparison of postoperative

recovery between primary suture and Limberg flap procedure

in a multicenter prospective randomized trial[J]. Front Surg,

2024,11:1120923.DOI:10.3389/fsurg.2024.1120923.


Refbacks

  • 当前没有refback。