黎燕玲 邓军

    【摘要】 胆囊结石是一种常见的胆石病。腹腔镜胆囊切除术常用于治疗胆囊结石。加速康复外科对腹腔镜胆囊切除术后镇痛安全和舒适性提出了更高的要求。强阿片类(opioid)镇痛效果不容置疑，但同时也增加了术后呼吸抑制或延迟性呼吸抑制和术后恶心呕吐风险。多模式镇痛不仅能确保患者术后所必需的镇痛效果，同时也能最大程度减少opioid副作用，促进患者术后快速康复。

    【关键词】 加速康复外科 多模式镇痛 腹腔镜胆囊切除术 阿片类

    Research Progress of Multimodal Analgesia in Recovery Period after Laparoscopic Cholecystectomy under the Background of Enhanced Recovery after Surgery/LI Yanling， DENG Jun. //Medical Innovation of China， 2024， 21(14)： -184

    [Abstract] Gallbladder stone is a common gallstone disease. Laparoscopic cholecystectomy is often used to treat gallbladder stone. Enhanced recovery after surgery puts forward higher requirements for analgesia safety and comfort after laparoscopic cholecystectomy. The analgesic effect of strong opioid is indisputable， but it also increases the risk of postoperative respiratory depression or delayed respiratory depression and postoperative nausea and vomiting. Multimodal analgesia can not only ensure the necessary analgesic effect of patients after surgery， but also minimize the side effects of opioid and promote the rapid recovery of patients after surgery. ......