疼痛值的轨迹及其与胸部手术后急性疼痛的关联:一项前性观察性研究
Fei Wang1,2, Meng-Chan Ou1,3, Yi-Hao Zhu1,4
1Department of Anesthesiology, Research Units of Perioperative Stress Assessment and Clinical Decision(2018RU012), West China Hospital of Sichuan University, Chinese Academy of Medical Sciences, Chengdu, 610041, China.
Journal of cardiothoracic surgery
|November 14, 2023
概括
手术后的疼痛值 (PT) 和它的变化 (PTV) 与手术后的疼痛强度相关. 这些客观措施可以指导疼痛管理和预测不良事件.
科学领域:
- 疼痛管理 疼痛管理
- 麻醉学 麻醉学
- 术后恢复 术后恢复
背景情况:
- 术后疼痛管理仍然是一个重大的临床挑战.
- 客观的疼痛评估对于有效的止痛策略至关重要.
- 疼痛值 (PT) 提供了一种可量化的疼痛敏感度度量.
研究的目的:
- 为了研究术后疼痛值 (PT) 和疼痛强度之间的相关性.
- 评估PT和PT变异 (PTV) 在指导术后疼痛管理中的有用性.
- 探索PT和PTV与止痛药消费和不良事件的关联.
主要方法:
- 包括93名接受胸腔镜手术的患者.
- 通过皮肤进行的电刺激测量了手术前的PT,以及手术后的1,6和24小时.
- 视觉模拟尺度 (VAS) 评估了疼痛严重程度; 计算了PT变化 (PTV).
主要成果:
- 手术后的PT和PTV在24小时内下降,这表明随着时间的推移疼痛敏感性降低.
- PT和PTV与静止状态和运动期间的VAS得分有显著的负相关性.
- 较高的PT和较低的PTV与较低的疼痛强度,减少止痛药的使用以及较少的头等不良事件有关.
结论:
- 手术后的PT和PTV是疼痛强度的可靠客观指标.
- 这些措施可以为个性化的术后疼痛管理策略提供信息.
- PT和PTV与止痛药消费和不良事件发生率相关,有助于风险评估.
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