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首页> 外文期刊>Current opinion in anaesthesiology >Can recent chronic pain techniques help with acute perioperative pain?
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Can recent chronic pain techniques help with acute perioperative pain?

机译：近期慢性疼痛技术可以帮助急性围手术期疼痛吗？

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Purpose of review This article discussed how the knowledge and technique of a few chronic pain procedures benefited the perioperative clinicians in their care of patients receiving specific orthopaedic surgical procedures. Recent findings Recent emerging interest in hip and knee denervation for chronic pain management secondary to osteoarthritis stimulates publications on the new understanding of hip and knee joint innervation. The improved understanding of the anatomy allows better precision in targeting the articular branches. The procedures for chronic joint pain such as radiofrequency ablation, chemical neurolysis and neuromodulation procedure have recently been applied to the perioperative care in orthopaedic procedures because of the potential long-lasting analgesia, opioid-sparing effect and consequent improvement in physical function and health-related quality of life after surgery. Despite the widespread use of regional anaesthesia and multimodal analgesia in the perioperative pain management, more than two-third of the patients reported severe postoperative pain. Therefore, other therapeutic strategies used in chronic pain management such as radiofrequency ablation and neuromodulation have been proposed to optimize acute postsurgical pain. The early experience with those techniques is encouraging, and more studies are required to explore the incorporation of these procedures in the perioperative care.
机译：审查目的本文讨论了少数慢性疼痛程序的知识和技术如何使围手术期临床医生受到关注接受特定整形外科手术程序的患者。最近发现最近对骨关节炎的慢性疼痛管理的髋关节和膝关节消位的新兴兴趣刺激了对髋关节和膝关节关联的新认识的出版物。改善对解剖结构的理解允许靶向关节分支的更好的精度。慢性关节疼痛，如射频消融，化学神经溶解和神经调节程序，最近已被应用于整形外科手术的围手术期护理，因为潜在的长期镇痛，阿片类药物保留效应以及物理职能和健康相关的改善手术后的生活质量。尽管在围手术期疼痛管理中广泛使用了区域麻醉和多模式镇痛，但超过三分之二的患者报告了严重的术后疼痛。因此，已经提出了慢性疼痛管理中使用的其他治疗策略，例如射频消融和神经调节，以优化急性后期疼痛。这些技术的早期经验是令人鼓舞的，并且需要更多的研究来探讨围手术期护理中的这些程序。

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