穿皮电神经刺激是否可以减少腹腔镜相关的肩部疼痛?
Abolfazl Mehdizadeh Kashi1,2, Sepideh Khodaverdi1, Azam Govahi1
1Endometriosis Research Center, Iran University of Medical Sciences, Tehran, Iran.
Obstetrics & gynecology science
|October 11, 2023
概括
通过皮肤进行电神经刺激 (TENS) 有效地减少了妇科腹腔镜术后的肩膀疼痛. 这种非侵入性方法在早期的术后期提供了显著的疼痛缓解,改善了患者的治疗结果.
科学领域:
- 妇科外科手术 妇科外科
- 疼痛管理 疼痛管理
- 神经刺激神经刺激
背景情况:
- 腹腔镜手术虽然有益,但经常导致手术后的肩部疼痛.
- 有效的疼痛管理对于在微创手术后的患者满意度至关重要.
- 穿皮电神经刺激 (TENS) 提供了一种非药物治疗的方法来缓解疼痛.
研究的目的:
- 评估TENS在经过妇科腹腔镜后的肩部疼痛管理中的有效性.
- 为了比较接受TENS与标准护理的患者的疼痛减轻.
主要方法:
- 追溯病例控制研究涉及112名年龄在18-45岁的女性.
- 患者被分为TENS组和对照组.
- 疼痛评分使用视觉模拟尺度在多次间隔评估,直至手术后72小时.
主要成果:
- TENS组在拉皮镜检查后2,4小时和8小时显示出明显较低的视觉模拟尺度得分.
- 虽然疼痛在24小时后减少,但两组之间的差异在统计学上并不显著.
- 两组所有患者在48小时和72小时后报告了完整的疼痛缓解 (零分).
结论:
- 经过妇科腹腔镜检查后,TENS是减少手术后肩部疼痛的重要方法.
- 这些发现支持TENS作为早期术后疼痛管理的有效非侵入性干预措施.
相关概念视频
Blood and Nerve Supply to the Bones
Bones are dynamic organs that require a rich supply of oxygen and nutrients. Around 5% to 10% of the cardiac output supplies blood to the bones. A typical long bone has three main sources: the nutrient artery, the metaphyseal and epiphyseal arteries, and the periosteal arteries.
Nutrient Artery
The nutrient artery is the main blood vessel that enters the diaphysis via the nutrient foramen. While most long bones have only one nutrient foramen, large bones, such as the femur, may have two. This...
Nutrient Artery
The nutrient artery is the main blood vessel that enters the diaphysis via the nutrient foramen. While most long bones have only one nutrient foramen, large bones, such as the femur, may have two. This...
Pain
Pain serves as a critical warning signal that alerts the body to potential or actual harm. When mechanical pressure on the skin is intense, such as from a sharp pinch, the sensation transitions from touch to pain. Similarly, extreme temperatures, like a hot pot handle, convert the sensation of heat into pain. Pain can also result from overstimulation of other senses, such as blinding light, loud noise, or the intense heat from habañero peppers. This ability to sense pain is essential for...


