CAJ | 학술논문

精准、微创、有效是21世纪肝脏外科的发展方向,建立肝脏外科无痛病房,实施围手术期规范化疼痛管理是快速康复外科的核心内容,也是精准肝脏外科研究的核心内涵之一.开展医护人员培训、重视疼痛的健康宣教、选择合理的疼痛评估策略、围手术期超前镇痛和多模式镇痛联合使用以及注重个体化镇痛是肝脏外科无痛病房建设的重要内容.积极开展多中心临床研究、探索无痛病房建设的临床路径和围手术期镇痛模式是肝脏外科无痛病房建设发展的方向.
정준、미창、유효시21세기간장외과적발전방향,건립간장외과무통병방,실시위수술기규범화동통관리시쾌속강복외과적핵심내용,야시정준간장외과연구적핵심내함지일.개전의호인원배훈、중시동통적건강선교、선택합리적동통평고책략、위수술기초전진통화다모식진통연합사용이급주중개체화진통시간장외과무통병방건설적중요내용.적겁개전다중심림상연구、탐색무통병방건설적림상로경화위수술기진통모식시간장외과무통병방건설발전적방향.
The progress of liver surgery is characterized by precision,minimal invasion and effectiveness in the 21 st century.Establishment of painless liver surgery ward and implementation of pain management in the perioperative period are not only the central content of enhanced recovery after surgery,but also one of the core connotation in precision liver surgery research.Conducting training programs for medical staffs,emphasizing health education of pain,selecting the reasonable pain assessment strategy,combination of preemptive analgesia and multimodal analgesia in the perioperative period and paying attention to individualized analgesia are important contents of construction of painless liver surgery ward.To carry out multicentre clinical study energetically,explore clinical pathway for the construction of painless ward and perioperative analgesic model are the development orientation for the construction of painless liver surgery ward.