脱皮按摩和文献评论在胸腔镜后的胸痛管理
Jiun Hsu1, Sheng-Pin Yu1, Chien-Te Pan1
1National Taiwan University Hospital Yunlin Branch, YunLin County, Taiwan.
The Thoracic and cardiovascular surgeon
|July 25, 2023
概括
脱衣按摩 (SM) 有效地减少了胸腔镜手术后的胸痛,降低了视觉模拟量表 (VAS) 评分和止痛药的需求. 这种安全的,非侵入性的技术为医院出院后的疼痛管理提供了有价值的选择.
科学领域:
- 疼痛管理 疼痛管理
- 物理疗法物理治疗
- 胸部手术 恢复 恢复
背景情况:
- 胸腔镜手术后的胸痛显著影响患者的康复和生活质量.
- 有效的疼痛管理策略对于优化胸部手术后的结果至关重要.
- 脊状肌肉中的肌筋触发点与手术后的持续性胸痛有关.
研究的目的:
- 为了评估脱衣按摩 (SM) 在下方状肌肉中的肌肌触发点的疗效,以缓解胸腔镜手术后的胸部疼痛.
- 为了比较SM与常规止痛药相结合的疗效,与单独使用常规止痛药的疗效.
- 对当前用于胸腔镜术后疼痛的疼痛管理技术进行文献综述.
主要方法:
- 一项随机对照试验,涉及60名成年患者,视觉模拟量表 (VAS) 分数≥4.4.
- 患者被分配给接受常规止痛药或常规止痛药加SM每天两次,持续2周.
- 疼痛评分 (VAS),止痛药的使用和住院时间都在术后进行评估. 使用PubMed和Cochrane图书馆进行了文献搜索.
主要成果:
- 在SM组在术后第3,7,14和30天显示出明显较低的VAS得分 (p < 0.001).
- 接受SM治疗的患者住院时间更短,对额外止痛药的需求减少 (p < 0.001).
- 文献审查确定了状前平面 (SAP) 块作为一种常见的外科手术治疗方法.
结论:
- 脱衣按摩是一种安全有效的非侵入性辅助疗法,用于治疗胸腔镜手术后的胸痛.
- 脊髓炎可以显著降低疼痛强度,止痛药消耗和住院时间.
- 在这种患者群体中,SM和SAP块都代表了多模式疼痛管理的有价值选择.
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