开胸手术和电视辅助胸腔镜手术(video-assisted thoracic surgery, VATS)均会产生中度至重度以上的术后疼痛,影响患者康复,降低患者的医疗满意度。自1910年诞生以来,VATS以微创的方式逐步应用于肺、纵隔和胸膜等疾病。VATS虽然属于微创...开胸手术和电视辅助胸腔镜手术(video-assisted thoracic surgery, VATS)均会产生中度至重度以上的术后疼痛,影响患者康复,降低患者的医疗满意度。自1910年诞生以来,VATS以微创的方式逐步应用于肺、纵隔和胸膜等疾病。VATS虽然属于微创手术,疼痛程度明显小于开胸手术,但是术后疼痛程度依旧很高,多数患者难以忍受。镇痛不足可影响患者术后功能恢复和气道分泌物排出,从而导致患者发生局部肺不张、肺炎和肺栓塞等一系列并发症,甚至死亡率增加。因此,VATS的良好术后镇痛至关重要。本文对当前VATS常用术后镇痛的研究进展进行文献总结。Both open thoracic surgery and video-assisted thoracic surgery (video-assisted thoracic surgery, VATS) produce moderate to more than severe postoperative pain, which affects patient recovery and reduces patient medical satisfaction. Since its inception in 1910, VATS has been progressively applied in a minimally invasive manner to diseases of the lung, mediastinum and pleura. Although VATS is a minimally invasive procedure with a pain level significantly lower than that of open-heart surgery, the level of postoperative pain is still high and intolerable for most patients. Inadequate analgesia may affect the postoperative functional recovery and airway secretion discharge, which may lead to a series of complications such as localized pulmonary atelectasis, pneumonia and pulmonary embolism, and even increased mortality. Therefore, good postoperative analgesia for VATS is crucial. In this paper, we summarize the literature on the current research progress of postoperative analgesia commonly used in VATS.展开更多
文摘开胸手术和电视辅助胸腔镜手术(video-assisted thoracic surgery, VATS)均会产生中度至重度以上的术后疼痛,影响患者康复,降低患者的医疗满意度。自1910年诞生以来,VATS以微创的方式逐步应用于肺、纵隔和胸膜等疾病。VATS虽然属于微创手术,疼痛程度明显小于开胸手术,但是术后疼痛程度依旧很高,多数患者难以忍受。镇痛不足可影响患者术后功能恢复和气道分泌物排出,从而导致患者发生局部肺不张、肺炎和肺栓塞等一系列并发症,甚至死亡率增加。因此,VATS的良好术后镇痛至关重要。本文对当前VATS常用术后镇痛的研究进展进行文献总结。Both open thoracic surgery and video-assisted thoracic surgery (video-assisted thoracic surgery, VATS) produce moderate to more than severe postoperative pain, which affects patient recovery and reduces patient medical satisfaction. Since its inception in 1910, VATS has been progressively applied in a minimally invasive manner to diseases of the lung, mediastinum and pleura. Although VATS is a minimally invasive procedure with a pain level significantly lower than that of open-heart surgery, the level of postoperative pain is still high and intolerable for most patients. Inadequate analgesia may affect the postoperative functional recovery and airway secretion discharge, which may lead to a series of complications such as localized pulmonary atelectasis, pneumonia and pulmonary embolism, and even increased mortality. Therefore, good postoperative analgesia for VATS is crucial. In this paper, we summarize the literature on the current research progress of postoperative analgesia commonly used in VATS.
