术后疼痛 随着功能性内镜鼻手术
Marcel Marjanović Kavangh1, Sunčica Kružić2, Katarina Đurić Vuković1
1Department of Otorhinolaryngology, Head and Neck Surgery, Zagreb University Hospital Center, Zagreb, Croatia.
Acta clinica Croatica
|May 30, 2023
概括
与双边手术相比,单侧功能内镜外科手术与术后疼痛较少有关. 其他因素,如年龄,性别或手术持续时间并没有显著影响疼痛水平.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 疼痛管理 疼痛管理
- 外科手术的结果
背景情况:
- 术后疼痛是功能性内镜外科手术 (FESS) 后的一个重要问题.
- 识别影响疼痛的因素可以优化患者的康复和管理策略.
研究的目的:
- 调查影响FESS后手术后疼痛的潜在因素.
- 分析患者人口统计,手术变量和疼痛评分之间的关联.
主要方法:
- 来自机构电子数据库的124名患者病历的回顾性审查.
- 收集的数据包括性别,年龄,美国麻醉学会 (ASA) 状态,手术持续时间,手术程度 (单边 vs 双边),初级 vs 修订以及鼻包装细节.
- 在手术当天和手术后的第一天使用视觉模拟量表 (VAS) 评估术后疼痛.
主要成果:
- 平均VAS疼痛得分很低:手术当天为1.20,术后一天为1.05.
- 接受单边FESS手术的患者在手术当天报告疼痛明显低于接受双边手术的患者 (p<0.01).
- 在术后疼痛与年龄,性别,ASA状态,手术持续时间,抗生素治疗或鼻包装特征之间没有发现统计学上显著的关联.
结论:
- 手术的程度 (单边或双边) 是影响FESS后手术后立即疼痛的关键因素.
- 在这项研究中检查的患者人口统计学和其他手术变量似乎不会显著影响疼痛水平.
- 进一步的研究可能会在FESS患者中探索其他潜在的疼痛调节剂.
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