地塞米松在术后疼痛管理中的应用
| 作者: |
1张雅珊,
1宋春雨,
1张睿,
1马晓雨,
1张梦琪
1 哈尔滨医科大学附属第二医院麻醉科，哈尔滨 150000 |
| 通讯: |
宋春雨
Email: scy20170901@163.com |
| DOI: | 10.3978/j.issn.2095-6959.2020.11.043 |
摘要
术后疼痛是机体受到手术创伤后的一种反应，尽管新型微创手术技术及麻醉管理方式方面取得了显著的进步，但对疼痛的充分控制仍然是术后管理的一个重要问题。地塞米松作为多模式镇痛中有效的辅助手段，能够通过静脉、外周神经周围及椎管内给药等方式优化镇痛效果。然而，其最佳给药途径及其不良反应仍然存在较大的争议。现就地塞米松在术后疼痛管理中应用的最新进展进行综述，以供临床参考。
关键词：
术后疼痛；地塞米松；辅助药
Dexamethasone i n postoperative pain management
CorrespondingAuthor: SONG Chunyu Email: scy20170901@163.com
DOI: 10.3978/j.issn.2095-6959.2020.11.043
Abstract
Postoperative pain is a reaction of the body after surgical trauma. Although the new minimally invasive surgery techniques and anesthesia management methods have made significant progress, adequate control of pain is still an important issue in postoperative management. As an effective adjuvant in multimodal analgesia, dexamethasone can optimize analgesia through intravenous, peripheral nerve and intraspinal administration. However, its optimal route of administration and its toxic side effects remain controversial. The latest advances in the use of dexamethasone in postoperative pain management are reviewed for clinical reference.
Keywords：
postoperative pain; dexamethasone; adjuvant