中国实用外科杂志2026，Vol.46Issue(5)：634-637,644,5.DOI:10.19538/j.cjps.issn1005-2208.2026.05.07
腹部手术围手术期精准镇痛策略
Precision analgesia strategy in the perioperative period of abdominal surgery
摘要
Abstract
The incidence of moderate-to-severe pain following abdominal surgery remains unacceptably high.The conventional passive analgesic paradigm dominated by opioids ignores the complexity of pain mechanisms and interindividual variability among patients,making it difficult to meet the evolving demands of enhanced recovery after surgery(ERAS),including attenuating surgical stress,facilitating recovery,and improving clinical outcomes.Precision analgesia,developed on the foundation of multimodal analgesia,integrates individualized considerations based on patient characteristics,disease profiles,and temporal factors.It emphasizes comprehensive perioperative management,accurate patient stratification,mechanism-based selection of analgesic agents and techniques,and the establishment of recovery-oriented therapeutic goals.Drawing on the practical experience of our pain-free ward,the clinical pathways for implementing precision analgesia should include preoperative assessment and risk stratification,patient education and psychological optimization,application of intraoperative regional anesthesia techniques,dynamic adjustment of postoperative multimodal analgesia,and structured post-discharge management.The successful implementation of precision analgesia relies on a multidisciplinary and patient-centered approach,facilitating the transition of perioperative pain management in abdominal surgery from empirically driven practices toward individualized and precision-based strategies.关键词
腹部手术/多模式镇痛/疼痛/加速康复外科Key words
abdominal surgery/multimodal analgesia/pain/enhanced recovery after surgery分类
医药卫生引用本文复制引用
王润东,荚卫东..腹部手术围手术期精准镇痛策略[J].中国实用外科杂志,2026,46(5):634-637,644,5.基金项目
Key Research and Development Program of Anhui Province(No.1704a0802150) 安徽省重点研究与开发计划项目(No.1704a0802150) （No.1704a0802150）
