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对感觉刺激的瞳孔扩张反射作为止痛管理的工具:一个诊断研究

Yolanda López de Audícana-Jimenez de Aberasturi¹, Ana Vallejo-De la Cueva², Nerea Aretxabala-Cortajarena³

¹Vitoria-Gasteiz School of Nursing, University of the Basque Country (UPV/EHU), Jose Atxotegi, 01009 Vitoria-Gasteiz, Spain; Bioaraba Health Research Institute, Jose Atxotegi, 01009 Vitoria-Gasteiz, Spain; Osakidetza Basque Health Service, Araba University Hospital, Jose Atxotegi, 01009 Vitoria-Gasteiz, Spain.

Australian critical care : official journal of the Confederation of Australian Critical Care Nurses

|August 12, 2023

概括

对20mA电刺激的瞳孔扩张反应可以帮助识别非沟通患者的疼痛. 这种瞳孔测量方法有助于在干预之前评估对止痛的需要.

科学领域:

关键护理医学关键护理医学
疼痛评估疼痛评估疼痛评估
诊断测试评价诊断测试评价诊断测试评价

背景情况:

超过70%的患者经历了内分泌吸收后的疼痛.
需要客观的工具来评估非通讯性重症患者的疼痛.

研究的目的:

为了确定最小的电刺激强度来检测重症患者的疼痛.
为了评估瞳孔测量作为疼痛评估工具与行为疼痛量表相比.

主要方法:

诊断准确性研究涉及31名被直管,镇静患者.
评估了对10,20,30和40 mA刺激的瞳孔扩张反应.
与行为疼痛量表 (BPS ≥4表示疼痛) 进行瞳孔测量比较.

主要成果:

一个20mA的刺激显示了0.85.5的曲线下的面积.
瞳孔膨胀截止值为11.5%,产生了100%的灵敏度和75.9%的特异性.
这一门达到77.4%的准确率和0.8.8的Youden指数.

结论:

在20mA刺激期间的瞳孔变异测量显示出评估止痛需求的前景.
这种非侵入性方法可以指导非通讯性患者的疼痛管理.
需要进一步的研究来验证这些发现.

关键词:

危急的疾病危急的疾病重症监护室的重症监护室是重症监护室的重症监护室.没有感觉,没有感觉.护理护理护理疼痛测量方法疼痛测量方法瞳孔中的瞳孔.一个反射的反射.

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