多模式镇痛时代甲状腺切除患者的局部伤口浸润
Local Wound Infiltration for Thyroidectomized Patients in the Era of Multimodal Analgesia.
作者信息
Laskou Stiliani, Tsaousi Georgia, Pourzitaki Chryssa, Loukipoudi Labrini, Papazisis Georgios, Kesisoglou Isaak, Sapalidis Konstantinos
机构信息
3rd Surgical Department, School of Medicine, Aristotle University of Thessaloniki, 54124 Thessaloniki, Greece.
Clinic of Anesthesiology and Intensive Care, School of Medicine, Aristotle University of Thessaloniki, 54124 Thessaloniki, Greece.
出版信息
Medicina (Kaunas). 2023 Sep 14;59(9):1662. doi: 10.3390/medicina59091662.
The first few hours following thyroidectomy are the most crucial for pain management. Adequate postoperative pain control, reduction in opioid abuse and the possibility of implementing one-day operations are the considered parameters when developing the postoperative analgesic strategy. A study of the available literature was conducted, exploring the efficacy of (open) thyroidectomy wound infiltration. Seventeen full-text RCTs were extracted. Local anesthetics and non-steroidal anti-inflammatory drugs were infiltrated. Emphasis was given to postoperative pain scores and requirements for rescue analgesia with opioids. Most authors agree that local wound infiltration for thyroidectomized patients is effective in the management of postoperative pain parameters. In the era of multimodal analgesia, thyroidectomy wound infiltration could represent an essential adjunct contributing to lower VAS scores and reduced opioid requirements.
甲状腺切除术后的最初几个小时对疼痛管理最为关键。制定术后镇痛策略时，需考虑的参数包括充分的术后疼痛控制、减少阿片类药物滥用以及实施一日手术的可能性。我们对现有文献进行了研究，探讨（开放性）甲状腺切除伤口浸润的疗效。提取了17篇全文随机对照试验。采用局部麻醉药和非甾体类抗炎药进行浸润。重点关注术后疼痛评分和阿片类药物解救镇痛的需求。大多数作者认为，对甲状腺切除患者进行局部伤口浸润对术后疼痛参数的管理有效。在多模式镇痛时代，甲状腺切除伤口浸润可能是降低视觉模拟评分（VAS）和减少阿片类药物需求的重要辅助手段。
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