在腹腔镜手术期间使用消除噪声耳机隔离噪声的效果,以减少术后疼痛:一项随机临床试验
Shuai You1, Fang Xu1, Yingcai Wu1
1Department of Anesthesiology, The Second Affiliated Hospital, Chongqing Medical University, Chongqing, China.
Journal of clinical anesthesia
|October 14, 2023
概括
使用消噪耳机进行手术期间降噪,可显著降低腹腔镜手术患者的术后疼痛和阿片类药物使用. 这一策略有效地减轻了与手术期间暴露于噪音相关的疼痛.
科学领域:
- 麻醉学 麻醉学
- 手术患者护理手术患者护理
- 疼痛管理 疼痛管理
背景情况:
- 在全身麻醉下进行腹腔镜手术通常发生在杂的环境中.
- 术后降噪对术后疼痛的影响尚未得到充分证实.
研究的目的:
- 为了调查在手术期间的降噪耳机是否可以减少手术后的疼痛.
- 评估手术期间隔离噪声对患者康复的影响.
主要方法:
- 潜在的,并行组,随机临床试验,涉及90名接受腹腔镜手术的患者.
- 干预组使用了降噪耳机;对照组没有.
- 主要结局:手术后24小时内最大的运动引起的疼痛强度.
主要成果:
- 干预组报告说,运动引起的疼痛得分显著降低 (2.7比4.0) 和阿片类药物消耗减少 (44.2比51.3毫克).
- 在手术期间的噪声强度 (≥70dB) 是对照组中术后疼痛的重要风险因素,但不是干预组.
结论:
- 使用除噪声耳机进行手术期间隔离噪声是一种安全有效的方法来减少手术后的疼痛.
- 这种干预措施减少了腹腔镜手术后对阿片类止痛药的需求.
相关概念视频
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
97
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
97
General Anesthesia: Overview
225
Anesthesia is a medical procedure that uses drugs for CNS suppression to enable painless surgeries and procedures. The selection of anesthetics is influenced by their pharmacokinetic properties, side effects, and patient characteristics. Various types of anesthesia include general, local, regional, spinal, and inhalational.
General anesthesia induces unconsciousness in the whole body, while the others target specific areas or sensations. It is administered to minimize adverse effects, maintain...
General anesthesia induces unconsciousness in the whole body, while the others target specific areas or sensations. It is administered to minimize adverse effects, maintain...
225
Local Anesthetics: Clinical Application as Spinal Anesthesia
646
Spinal anesthetics are given during lower abdomen and limb surgeries to block sensory and motor neurons. They are administered in the mid to low lumbar regions, primarily acting on the cauda equina's nerve roots. The blockade level depends on the local anesthetic (LA) concentration. Usually, low LA concentrations are sufficient to block sensory fibers, while only high LA concentrations block motor fibers. Other factors like injection volume and speed, the patient's posture, and the drug...
646
Local Anesthetics: Clinical Application as Epidural Anesthesia
439
Epidural anesthetics are administered in the fat-filled epidural space, the outermost part of the spinal canal. This technique is commonly employed for pain management and anesthesia during lower abdomen and pelvis surgeries or labor and delivery.
Since epidural anesthetics can be infused through an epidural catheter, all types of drugs, including short-acting ones, can be administered. Chloroprocaine and lidocaine are examples of short and long-duration anesthetics, respectively. Bupivacaine...
Since epidural anesthetics can be infused through an epidural catheter, all types of drugs, including short-acting ones, can be administered. Chloroprocaine and lidocaine are examples of short and long-duration anesthetics, respectively. Bupivacaine...
439


