腹腔镜手术后肩痛的临床研究进展

Clinical Research Progress of Shoulder Pain after Laparoscopic Surgery

摘要: 腹腔镜手术是经典的微创外科技术，因其微创、切口疼痛程度较轻、术后恢复快等特点，已成为临床首选手术方式。手术后急性疼痛主要表现为疼痛的多样性。多样性指术后主要存在三种疼痛，即内脏痛、切口痛及肩部疼痛。随着“舒适化医疗”的理念深入人心，患者对术后生活质量的意识提高，这就需要麻醉医师在术后有效地控制疼痛。而腹腔镜术后肩痛(post-laparoscopic shoulder pain, PLSP)是术后影响患者舒适度、活动度的主要因素之一，约35%~85%的人需要镇痛药物来缓解疼痛。因此，为了有效降低PLSP的发生率及减轻PLSP的程度，本文就PLSP研究进展作一综述。

Abstract: Laparoscopic surgery is a classic minimally invasive surgical technique, which has become the first choice for clinical surgery because of its minimally invasive, mild incision pain and rapid postoperative recovery. The main manifestation of acute pain after operation is the diversity of pain. Multiple means that there are mainly three kinds of pain after operation, namely, visceral pain, incision pain and shoulder pain. With the concept of “comfortable medical treatment” deeply rooted in the hearts of the people, patients’ awareness of the quality of life after operation is improved, which requires anesthesiologists to effectively control pain after operation. Shoulder pain after laparoscopy (post-laparoscopic shoulder pain, PLSP) is one of the main factors affecting patients’ comfort and range of activity. About 35%~85% of people need analgesics to relieve pain. Therefore, in order to effectively reduce the incidence of PLSP and reduce the degree of PLSP, this article reviews the research progress of PLSP.