腹部手术围手术期精准镇痛策略OA

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.