首页|无阿片化麻醉临床应用的研究进展

无阿片化麻醉临床应用的研究进展

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无阿片化麻醉(OFA)是一种结合多种非阿片类药物和(或)技术以获得高质量麻醉的多模式镇痛策略。随着加速康复外科(ERAS)理念的普及,OFA成为围手术期医师共同关注的热点。OFA契合ERAS理念,在多模式麻醉与疼痛管理下能减少手术应激、炎症反应和术后并发症,明显改善患者预后,促进患者术后快速康复并减轻医疗卫生资源负担。该文就阿片类药物的不良反应、OFA概念和适应证,近年来OFA在临床中的应用、存在的争议及有待解决的问题进行了综述。
Research progress on clinical application of opioid-free anesthesia
Opioid-free anesthesia(OFA)is a multimodal analgesic strategy that combines multiple non-opioid drugs and/or techniques to obtain high-quality anesthesia.With the popularization of the concept of enhanced recovery after surgery(ERAS),OFA has become a common concern hot spot for perioperative phy-sicians.OFA is in line with the ERAS concept,and under multimodal anesthesia and pain management,it can reduce surgical stress,inflammation reaction and postoperative complications,significantly improve the prog-nosis of patients,promote postoperative rapid recovery and reduce the burden of medical and health resources.This article reviews the adverse reactions of opioids,OFA concept and indications,the clinical application of OFA in recent years,the existing controversies and problems to be solved.

opioid-free anesthesiaopioidsenhanced recovery after surgerymultimodal analgesiareview

邓东香、林冠文、王道杰、伍冬晨、林娅美、吴多志

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海南医学院附属海南医院/海南省人民医院麻醉科,海口 570311

无阿片化麻醉 阿片类药物 加速康复外科 多模式镇痛 综述

海南省重点研发计划项目

ZDYF2021SHFZ087

2024

重庆医学
重庆市卫生信息中心,重庆市医学会

重庆医学

CSTPCD
影响因子:1.797
ISSN:1671-8348
年,卷(期):2024.53(19)