热包治疗对结肠镜术后疼痛的影响:一项前性,随机化,受控研究
Rasim Eren Cankurtaran1, Roni Atalay2
1From the Department of Gastroenterology, Ankara City Hospital, Ankara Yildirim Beyazit University Faculty of Medicine Ankara, Turkey.
概括
热包治疗有效地减少了早期的结肠镜后疼痛. 这种方法在手术后6小时内提供了显著的疼痛缓解,改善了患者的舒适度.
科学领域:
- 胃肠病学 胃肠病学
- 疼痛管理 疼痛管理
- 治疗干预 治疗干预
背景情况:
- 结肠镜后疼痛 (PCP) 会引起患者的痛苦,并可能阻碍患者遵守治疗.
- 腹部膨胀由于吸入的空气是PCP的疑似原因.
- 关于PCP干预措施的研究有限,特别是热疗法.
研究的目的:
- 评估热包 (HP) 方法对管理PCP的疗效.
- 评估热疗对结肠镜检查后减轻疼痛的影响.
主要方法:
- 采用了一种随机对照的前性研究设计.
- 患者被分配到热包 (HP) 组或对照组 (1:1比率).
- 惠普组接受了40-45°C的热包,将其应用于腹部30分钟;在手术后的1,6和24小时使用视觉模拟尺度 (VAS) 评分测量疼痛.
主要成果:
- 在结肠镜检查后1小时和6小时,HP组观察到疼痛存在和严重程度的统计学显著减少 (p < .001和p = .004).
- 在24小时标记下,两组之间没有发现疼痛评分的显著差异.
结论:
- 热包 (HP) 方法在缓解早期结肠镜后疼痛方面表现出有效性.
- 热疗的早期应用可以在结肠镜检查后的几个小时内提供显著的疼痛缓解.
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