国际麻醉学与复苏杂志   2014, Issue (2): 9-9
    
多模式镇痛应用进展及发展趋势
董静宇, 石翊飒1()
1.兰州大学第二医院
Multimodal analgesia Application Progress and Development Trend
 全文:
摘要:

背景 有效的围术期镇痛有利于患者术后康复、提高患者满意度,但目前最常用的阿片类药物较高的不良反应发生率仍然使部分患者遭受痛苦。多模式镇痛(Multimodal analgesia, MMA)理论的出现使这种矛盾的缓解成为可能。目的 对近些年应用于MMA的常用药物的应用效果及所产生的问题作一综述。内容 MMA可以提高术后镇痛效果并在一定程度上减少镇痛药物需要量、减少相关不良反应,但由于药物副作用的限制多种药物联合使用仍需更多研究予以支持。趋向 多学科管理已成为现代医疗发展的趋势,完善的术后镇痛无疑是其中重要环节,MMA在以实现“最高镇痛效果、最低不良反应”为目标的术后镇痛管理中有广大的发展空间。

关键词: 多模式镇痛;镇痛药;疼痛;联合用药
Abstract:

Background Effective perioperative analgesia can favor the postoperative rehabilitation and satisfaction of patient; but opioids, the most commonly used analgesic drug, still make some patients suffer due to its high incidence of adverse reactions. The emergence of the theory of multimodal analgesia (MMA) makes it possible to alleviate this contradiction. Objective To review the effects and aroused problems of commonly used drugs applied to MMA in recent years. Content MMA can improve postoperative analgesia, and to some extent reduce analgesia dosages and adverse reactions. However, due to the restrictions of the side effects of drugs, joint use of multiple drugs still needs more research to support. Trend Multidisciplinary management has become the trend in the development of modern medicine; improved postoperative analgesia is undoubtedly one of the important parts. There is huge potential for MMA to achieve the goal “the maximum analgesic effect, the minimum adverse reactions” in the postoperative pain management.

Key words: multimodal analgesia; analgesia; pain; drug combinations