肺楔形切除术后镇痛管理的研究进展

Advances in Postoperative Analgesic Management Following Pulmonary Wedge Resection

摘要: 肺楔形切除术是一种广泛应用于肺部的微创手术，其术后疼痛管理的重要性与复杂性是目前临床研究的热点。术后疼痛不仅会影响患者的早期康复，还可能引发慢性疼痛，进一步降低患者的生活质量。近年来，随着镇痛技术和药物的不断进步，针对肺楔形切除术后疼痛管理的方法也得到了显著的发展。本文综述目前肺楔形切除术后多种镇痛临床应用策略，包括传统的药物镇痛、区域神经阻滞技术，以及多模式镇痛策略的有效性和安全性，对各类镇痛手段的优缺点进行分析，并探讨个体化镇痛方案的优化，旨在为临床医生提供循证依据，以进一步促进术后镇痛管理的规范化与精准化，从而提升肺楔形切除术后患者的恢复质量和生活水平。

Abstract: Pulmonary wedge resection is a minimally invasive procedure widely used for pulmonary conditions, and the importance and complexity of postoperative pain management in this context represent a significant focus of clinical research. Postoperative pain not only impacts early recovery but may also lead to chronic pain, further reducing patients’ quality of life. In recent years, with advancements in analgesic techniques and medications, approaches for managing pain after pulmonary wedge resection have evolved considerably. This article reviews current clinical application strategies for analgesia following pulmonary wedge resection, including conventional pharmacological analgesia, regional nerve block techniques, and the efficacy and safety of multimodal analgesic strategies. It analyzes the advantages and disadvantages of various analgesic methods and explores the optimization of individualized analgesic protocols. The aim is to provide clinicians with evidence-based insights to further standardize and refine postoperative analgesic management, thereby enhancing the quality of recovery and life for patients after pulmonary wedge resection.