胸部手术后持续性术后疼痛的患病率和特征:系统性审查和元分析
Lu Wang1, Meng Yang2, Wangtao Meng1
1Department of Nursing, Xinyang Vocational and Technical College, Xinyang Henan, China.
Anesthesia and analgesia
|June 16, 2023
概括
持续的术后疼痛 (PPP) 影响38.1%的胸部手术患者,许多患者经历中度至重度或神经病痛. 改善疼痛管理和随访对这些患者至关重要.
科学领域:
- 胸部外科手术 胸部外科手术
- 疼痛管理 疼痛管理
- 系统审查是系统的审查.
背景情况:
- 术后持续性疼痛 (PPP) 是胸部手术后的一个重大问题.
- 了解PPP的患病率和特征对于有效的患者护理至关重要.
研究的目的:
- 系统地审查和分析胸部手术后持续性术后疼痛 (PPP) 的流行率和特征.
- 提供PPP发病率,严重程度和相关因素的综合估计.
主要方法:
- 在Medline,Embase和CINAHL数据库中进行了全面的搜索.
- 包括来自90项涉及19001名患者的研究的数据.
- 使用随机效应元分析来综合发现.
主要成果:
- 胸部手术后PPP的综合患病率为38.1%,中位数为12个月的随访.
- 40.6%的受影响患者报告中度至严重的PPP,其中10.1%的患者经历了严重的疼痛.
- 56.5%的PPP患者报告使用阿片类药物,33.0%的患者有神经病痛成分.
结论:
- 大约三分之一的胸部手术患者患有持续的术后疼痛.
- 显然需要加强疼痛治疗策略,并为患有PPP的患者提供专门的随访.
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