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Prevention of Chronic Postsurgical Pain: The Effect of Preventive and Multimodal Analgesia

机译:预防慢性术后疼痛:预防性和多式联用镇痛的作用

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Chronic post-surgical pain (CPSP) is a chronic pain condition, affecting many people who have undergone surgery. The development of CPSP is complex and the treatment options are limited; therefore, postsurgical pain management is crucial for satisfactory pain relief and prevention of CPSP development. In this review, we analyzed the existing treatment modalities for patients with CPSP. The treatments include opioids, acetaminophen, N-methyl-D-aspartate (NMDA) receptor antagonists, anticonvulsants, and local anesthesia. All treatments had signifi cant effect on CPSP and opioid-sparing effect; moreover, preventive analgesic treatment is important for improving quality of postoperative pain management. However, since most of the studies had limitations, further research on determining effective combinations and treatment modalities is required.
机译:慢性手术后疼痛(CPSP)是一种慢性疼痛状况,影响了许多接受过手术的人。 CPSP的发展非常复杂,治疗方案有限。因此,术后疼痛管理对于令人满意的缓解疼痛和预防CPSP的发展至关重要。在这篇综述中,我们分析了CPSP患者的现有治疗方式。治疗方法包括阿片类药物,对乙酰氨基酚,N-甲基-D-天冬氨酸(NMDA)受体拮抗剂,抗惊厥药和局部麻醉药。所有治疗对CPSP和阿片类药物的保护作用均无明显作用。此外,预防性止痛治疗对于提高术后疼痛管理的质量非常重要。但是,由于大多数研究都存在局限性,因此需要对确定有效组合和治疗方式进行进一步的研究。

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