为了减少产妇术后疼痛、促进产妇术后快速恢复以及保障婴儿健康,剖宫产术后的镇痛方案一直在不断完善.其中多模式镇痛是剖宫产术后快速康复(enhanced recovery after cesarean,ERAC)的重要组成部分,做好剖宫产术后的多模式镇痛是十分必要的.为尽量减少阿片类药物的不良反应,非阿片类药物与区域阻滞的应用逐渐增多,多模式镇痛方案也在逐步完善.然而,到目前为止,关于剖宫产术后的多模式镇痛方案仍存在争议,尚无最佳方案出现.本文总结了目前剖宫产术后的多模式镇痛方案,并为多模式镇痛方案的发展提供思路.
Research progress of multimodal analgesia after cesarean section under the concept of enhanced recovery after surgery
To alleviate postoperative pain,expedite the recovery process for women after surgery,and ensure the well-being of infants,the postoperative analgesia program for cesarean section is continuously being enhanced.Multimodal analgesia is a crucial component of enhanced recovery after cesarean(ERAC),and need to be successfully implemented.In efforts to minimize opioid-related adverse effects,the utilization of non-opioid medications and nerve blocks have progressively increased,leading to gradual improvements in multimodal analgesia protocols.Nonetheless,the approach of multimodal analgesia following cesarean sections remains a topic of debate,and lack a definitive optimal strategy.This article endeavors to outline the existing multimodal analgesia protocols applied after cesarean section while offering insights for future advancements in this area.
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