动员效应在通过胸切除术进行解剖肺切除后的前4小时内
1Department of Thoracic Surgery, Istinye University, Maltepe Mah., Edirne Cırpıcı Yolu, No.9 Zeytinburnu, 34010, Istanbul, Turkey. haticeeryigit@gmail.com.
Updates in surgery
|July 31, 2023
概括
肺切除手术后的早期动员可以显著减少术后疼痛和需要麻醉止痛药的需要. 这种以患者为中心的方法是安全的和可行的,减少并发症和改善胸部手术患者的康复时间.
科学领域:
- 胸部外科手术 胸部外科手术
- 麻醉学 麻醉学
- 关键护理医学 关键护理医学
背景情况:
- 胸部切口,特别是在通过胸切除术进行肺切除后,与严重的术后疼痛和潜在的并发症有关.
- 目前的疼痛管理通常严重依赖于阿片类药物,这些药物具有不良影响的风险.
- 专注于早期动员的以患者为中心的策略可能提供一种替代方法来改善结果.
研究的目的:
- 研究通过胸切除术进行肺切除的患者早期动员 (4小时后) 的可行性和安全性.
- 评估早期动员对术后疼痛,止痛药要求和术后并发症的影响.
- 评估对住院时间和患者康复的影响.
主要方法:
- 对48名通过胸腔切除术进行脑叶切除术并在术后4小时内动员的患者进行了回顾性研究.
- 动员定义为站立并至少行走100米.
- 分析止痛药的需要,步行距离,并发症,并发症,排水和放电时间.
主要成果:
- 40名患者 (83.3%) 在3小时内行走,平均距离为140±38.5米.
- 静止性低血压发生在8.3%的患者中.
- 长时间的空气泄漏是最常见的并发症 (18.8%);没有观察到血栓栓塞事件或心律失常.
- 只有18%的患者需要麻醉止痛药.
结论:
- 在解剖肺切除后4小时内进行早期动员是可行的和安全的.
- 这一策略有效地减少了手术后的疼痛和对麻醉止痛药的需求.
- 早期动员有助于减少心血管并发症,并在胸部手术后可能缩短住院时间.
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