腹腔镜全子宫切除术的快速康复外科多模式镇痛管理

Rapid Recovery Surgical Multimodal Pain Management for Laparoscopic Hysterectomy

摘要: 腹腔镜全子宫切除术具有创伤小、恢复快等优点，是治疗女性生殖系统疾病的主要术式，但其术后仍存在明显疼痛，增加了不良反应发生率，影响手术效果及预后。多模式疼痛管理是加速康复外科中的关键环节，通过多种镇痛方式和不同机制镇痛药物的协同治疗，达到个体化用药，镇痛效果确切，减少患者应激反应，减少阿片类药物的用药剂量，最大幅度地降低不良反应，促进患者术后快速康复。本文总结了腹腔镜子宫切除术多模式镇痛管理的相关进展以及未来的趋势，以期实现更安全、高效、精准化、人性化的围术期疼痛管理，推动腹腔镜子宫切除术多模式镇痛发展，给广大患者带来满意的麻醉体验。

Abstract: Laparoscopic hysterectomy has the advantages of minimal trauma and rapid recovery, making it a primary surgical procedure for treating female reproductive system diseases. However, significant postoperative pain can still occur, increasing the incidence of adverse reactions and affecting surgical effectiveness and prognosis. Multimodal pain management is a key component of enhanced recovery after surgery. By combining multiple analgesic modalities and analgesics with different mechanisms, it achieves personalized medication, precise analgesic efficacy, reduced patient stress response, reduced opioid dosage, minimized adverse reactions, and promoted rapid postoperative recovery. This article summarizes the progress and future trends in multimodal analgesia management for laparoscopic hysterectomy, aiming to achieve safer, more efficient, precise, and user-friendly perioperative pain management, promote the development of multimodal analgesia for laparoscopic hysterectomy, and provide patients with a satisfactory anesthesia experience.