Research progress on pain management and nutritional support during the perioperative period of pancreatic cancer
胰腺癌围手术期疼痛管理与营养支持的护理研究进展

摘要

胰腺癌是消化系统恶性程度极高的肿瘤，手术为主要根治手段，但围手术期存在疼痛剧烈、营养风险高、并发症发生率高的特点，严重影响患者康复与生活质量。疼痛管理与营养支持作为围手术期护理核心，二者协同作用，对改善临床结局意义重大。本文结合近年国内外研究及最新指南，系统阐述胰腺癌围手术期疼痛的评估方法、干预策略，营养支持的风险筛查、实施路径，分析二者协同机制及护理关键点，探讨现存问题与发展方向，为临床护理提供参考。

Abstract

Pancreatic cancer is a highly malignant tumor in the digestive system. Surgery is the main radical treatment method, but during the perioperative period, there are characteristics such as severe pain, high nutritional risk, and high incidence of complications, which seriously affect the recovery and quality of life of patients. Pain management and nutritional support, as the core of perioperative nursing, work together and have significant implications for improving clinical outcomes. This article, based on recent domestic and international research and the latest guidelines, systematically elaborates on the assessment methods and intervention strategies of pain during the perioperative period of pancreatic cancer, the risk screening and implementation paths of nutritional support, analyzes the collaborative mechanism and key points of nursing, discusses existing problems and development directions, and provides references for clinical nursing.