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首页> 外文期刊>Current opinion in anaesthesiology >Postcesarean analgesia: effective strategies and association with chronic pain.
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Postcesarean analgesia: effective strategies and association with chronic pain.

机译：剖宫产后镇痛：有效的策略以及与慢性疼痛的关联。

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PURPOSE OF REVIEW: The management of postoperative pain after cesarean section slightly differs from that of the general surgical population, specifically women need to recover quickly to take care of their newborn baby. Optimal pain management is imperative for the success of immediate-term and long-term rehabilitation and this principle applies to obstetric patients. There is growing evidence that perioperative pain management has consequences extending well beyond the immediate recovery period. Unrelieved postoperative pain is a striking risk factor for the development of residual pain. RECENT FINDINGS: A recent study has highlighted that chronic pain may be a significant clinical problem after cesarean section. Among the risk factors, recalls of severe acute postoperative pain led to the reconsideration of postoperative pain management after cesarean delivery. Current published data agree that drug combinations, that is, multimodal or balanced analgesia, are mandatory to achieve satisfactory and effective pain relief with reduced side effects. SUMMARY: The use of balanced analgesia has significantly improved acute pain management after cesarean section. Future studies should extend their investigations beyond the first 48 h and consider the long-term effects of different analgesic regimens, that is, those that alter the development of residual pain.
机译：审查目的：剖宫产术后的疼痛处理与一般外科手术人群的处理略有不同，特别是女性需要快速康复以照顾新生婴儿。最佳的疼痛管理对于近期和长期康复的成功至关重要，这一原则适用于产科患者。越来越多的证据表明围手术期疼痛处理的后果已远远超出了立即恢复期。术后疼痛未缓解是残余疼痛发展的显着风险因素。最近的发现：最近的一项研究强调，剖宫产术后慢性疼痛可能是一个重要的临床问题。在危险因素中，严重急性术后疼痛的召回导致剖宫产后重新考虑术后疼痛处理。当前公开的数据同意药物组合，即多模式或平衡镇痛，对于实现令人满意的，有效的缓解疼痛和减少副作用是必不可少的。摘要：剖宫产术后均衡镇痛的使用可显着改善急性疼痛管理。未来的研究应将其研究范围扩展到最初的48小时之后，并考虑不同镇痛方法（即那些会改变残余疼痛发展的镇痛方法）的长期效果。

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