尿妇科手术的疼痛管理策略：综述
Pain management strategies for urogynecologic surgery: a review.
作者信息
Collins Sarah A, Joshi Girish, Quiroz Lieschen H, Steinberg Adam C, Nihira Mikio A
机构信息
From the *Department of Obstetrics and Gynecology, Section of Gynecology and Reconstructive Pelvic Surgery, University of Chicago Medicine, Chicago, IL; †Department of Anesthesiology and Pain Management, University of Texas Southwestern Medical Center, Houston, TX; ‡Department of Obstetrics and Gynecology, Division of Female Pelvic Medicine and Reconstructive Surgery, University of Oklahoma Health Sciences Center, Oklahoma City, OK; and §Department of Obstetrics and Gynecology, Division of Urogynecology, Hartford Hospital, University of Connecticut Health Center, Hartford, CT.
出版信息
Female Pelvic Med Reconstr Surg. 2014 Nov-Dec;20(6):310-5. doi: 10.1097/SPV.0000000000000134.
OBJECTIVES
The objectives of this study were to review the recent literature on surgical pain management strategies and to identify those pertinent to urogynecologic surgery.
METHODS
A literature search using Pubmed and MEDLINE was performed for trials on pain management in gynecologic surgery. Evidenced-based recommendations for preoperative, intraoperative, and postoperative pain control strategies for gynecologic procedures by various surgical routes were identified. Articles specifically describing urogynecologic procedures were sought, but quality, randomized trials on pain management modalities in other gynecologic procedures were also included.
RESULTS
Although few randomized trials on pain management strategies in urogynecologic surgery exist, quality evidence suggests that several preemptive and multimodal analgesia strategies reduce pain and opioid-related adverse events in abdominal, laparoscopic, and vaginal surgery. Evidence supporting these strategies is outlined. Many are likely applicable to urogynecologic procedures.
CONCLUSIONS
Evidence guiding pain management in specific urogynecologic procedures is sparse and should be sought in future studies. When possible, procedure-specific strategies, including preemptive and multimodal techniques, should be implemented.
目的
本研究的目的是回顾近期关于手术疼痛管理策略的文献，并确定那些与妇科泌尿手术相关的策略。
方法
利用PubMed和MEDLINE进行文献检索，以查找妇科手术疼痛管理的试验。确定了各种手术途径的妇科手术术前、术中和术后疼痛控制策略的循证推荐。寻找专门描述妇科泌尿手术的文章，但也纳入了关于其他妇科手术疼痛管理方式的高质量随机试验。
结果
虽然关于妇科泌尿手术疼痛管理策略的随机试验很少，但高质量证据表明，几种超前镇痛和多模式镇痛策略可减轻腹部、腹腔镜和阴道手术的疼痛及阿片类药物相关不良事件。概述了支持这些策略的证据。其中许多可能适用于妇科泌尿手术。
结论
指导特定妇科泌尿手术疼痛管理的证据稀少，应在未来研究中寻找。尽可能应实施特定手术的策略，包括超前镇痛和多模式技术。
Zotero 插件