多学科协作疼痛管理在胸腔镜围术期患者中的应用
Application of Multidisciplinary Team Pain Management in Perioperative Patients Undergoing Thoracoscopic Surgery
DOI: 10.12677/acm.2025.15123454, PDF,    科研立项经费支持
作者: 刘旦丹：湖北省荆门市人民医院心胸外科，湖北 荆门
关键词: 胸腔镜手术；围术期；多学科协作；疼痛管理；Thoracoscopic Surgery； Perioperative Period； Multidisciplinary Team (MDT)； Pain Management
摘要: 目的：探讨多学科协作疼痛管理(MDT-Pain Management)在胸腔镜围术期患者中的应用效果，旨在减轻患者术后疼痛，促进加速康复，提高患者生活质量。方法：采用病例回顾分析法，选取2023年6月至2024年5月及2024年9月至2025年8月期间，某三甲医院胸外科收治的160例胸腔镜单肺叶切除术患者。将2023年6月至2024年5月的80例患者作为对照组，采用传统疼痛管理模式；2024年9月至2025年8月的80例患者作为研究组，采用护士主导的多学科协作疼痛管理模式。比较两组患者的疼痛评分、术后恢复指标及并发症发生率。结果：研究组患者术后24、36、48小时的静息和咳嗽时疼痛评分显著低于对照组(P < 0.05)。研究组的胸管拔除时间、住院时长均显著缩短(P < 0.05)，术后并发症发生率也显著降低(P < 0.05)。结论：多学科协作疼痛管理能够有效减轻胸腔镜围术期患者的术后疼痛，加速术后康复，降低并发症发生率，具有重要的临床应用价值。
Abstract: Objective: To explore the effect of Multidisciplinary Team (MDT) pain management in perioperative patients undergoing thoracoscopic surgery, aiming to alleviate postoperative pain, promote enhanced recovery, and improve patients’ quality of life. Methods: A retrospective case analysis was conducted, selecting 160 patients who underwent thoracoscopic unilateral lobectomy in the Department of Thoracic Surgery of a tertiary hospital between June 2023 and May 2024, and between September 2024 and August 2025. Eighty patients from June 2023 to May 2024 served as the control group, receiving traditional pain management; the other 80 patients from September 2024 to August 2025 served as the study group, receiving nurse-led, multidisciplinary collaborative pain management. Pain scores, postoperative recovery indicators, and complication rates were compared between the two groups. Results: The study group showed significantly lower pain scores at rest and during coughing at 24, 36, and 48 hours postoperatively compared to the control group (P < 0.05). The chest tube removal time and hospital stay were significantly shorter in the study group (P < 0.05), and the incidence of postoperative complications was also significantly reduced (P < 0.05). Conclusion: Multidisciplinary Team pain management can effectively alleviate postoperative pain, accelerate postoperative recovery, and reduce the incidence of complications in patients undergoing thoracoscopic surgery, demonstrating significant clinical application value.
文章引用：刘旦丹. 多学科协作疼痛管理在胸腔镜围术期患者中的应用[J]. 临床医学进展, 2025, 15(12): 645-650. https://doi.org/10.12677/acm.2025.15123454

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