快速康复理念下剖宫产术后多模式镇痛的研究进展

Research progress of multimodal analgesia after cesarean section under the concept of enhanced recovery after surgery

摘要:

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 section, 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了思路。

Abstract:

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 sections is continuously being enhanced. Multimodal analgesia serves as a crucial component of Enhanced Recovery After Cesarean section (ERAC), necessitating its successful implementation. In efforts to minimize opioid-related adverse effects, the utilization of non-opioid medications and nerve blocks has progressively increased, leading to gradual improvements in multimodal analgesia protocols. Nonetheless, the approach of multimodal analgesia following cesarean sections remains a topic of debate, lacking a definitive optimal strategy. This article endeavors to outline the existing multimodal analgesia protocols applied post-cesarean section while offering insights for future advancements in this area.