文章摘要

慢性疼痛影响术前胃排空机制的研究进展

作者: 1马雪, 1郭桢楠, 1崔晓光
1 哈尔滨医科大学附属第二医院麻醉科,哈尔滨 150000
通讯: 崔晓光 Email: cuixiaoguang1018@qq.com
DOI: 10.3978/j.issn.2095-6959.2021.06.033
基金: 黑龙江省卫生计生委科研课题(2018318)。

摘要

围术期胃内容物误吸是麻醉中最可怕的并发症之一,而胃排空与之紧密相关,故胃排空一直被麻醉医生关注并重视。被视为第5生命体征的疼痛是临床上常见的一种症状。作为一种不愉快的主观感觉和情感体验,疼痛在提醒身体潜在的组织损伤以及使人们免遭进一步伤害方面起重要作用。而慢性疼痛提供持续的疼痛感和负面体验,不仅无警告和防御作用,且被认为是一种生物-心理-社会障碍。慢性疼痛引起机体一系列的变化将影响敏感的胃肠道进而影响胃排空。
关键词: 慢性疼痛;术前;胃排空

Research progress of chronic pain on mechanism of preoperative gastric emptying

Authors: 1MA Xue, 1GUO Zhennan, 1CUI Xiaoguang
1 Department of Anesthesiology, Second Affiliated Hospital of Harbin Medical University, Harbin 150000, China

CorrespondingAuthor: CUI Xiaoguang Email: cuixiaoguang1018@qq.com

DOI: 10.3978/j.issn.2095-6959.2021.06.033

Foundation: This work was supported by the Scientific Research of Heilongjiang Provincial Health and Family Planning Commission, China (2018318).

Abstract

Perioperative aspiration of gastric contents is one of the most terrible complications in anesthesia, and gastric emptying is closely related to it, so gastric emptying has been paid much attention to by anesthesiologists. Pain, considered as the fifth vital sign, is a common clinical symptom. As an unpleasant subjective feeling and emotional experience, pain plays an important role in reminding the body of potential tissue damage and protecting people from further injury, while chronic pain provides a persistent sense of pain and negative experience, not only without warning and defensive effects but also considered as a bio-psycho-social disorder. Chronic pain causes a series of changes in the body that affects sensitive gastrointestinal tracts and then affects gastric emptying.
Keywords: chronic pain; preoperation; gastric emptying