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住院阿片类药物使用和疼痛控制后机器人与腹腔镜袖子胃切除术相比
Tariq Saleh1, Jordanne Ford1, Tammy Kindel1
1Medical College of Wisconsin Department of Surgery, Division of Minimally Invasive and Gastrointestinal Surgery.
Surgery
|November 19, 2023
概括
机器人和腹腔镜袖子胃切除术显示了类似的疼痛控制和住院阿片类药物使用. 这项研究发现,两种手术方法之间的术后疼痛评分或阿片类药物消耗没有显著差异.
科学领域:
- 最少侵入性的手术
- 外科手术的结果
- 疼痛管理 疼痛管理
背景情况:
- 机器人减肥手术正在增加,但其与腹腔镜相比的临床优势仍然不清楚.
- 疼痛控制是需要进一步调查的关键因素 机器人与腹腔镜减肥手术.
研究的目的:
- 为了比较机器人和腹腔镜袖子胃切除术之间的住院阿片类药物使用和术后疼痛得分.
- 评估机器人手术在减肥手术中的疼痛管理方面的临床益处.
主要方法:
- 对368名接受袖子胃切除术的患者进行了回顾性队列研究 (透视镜或机器人).
- 住院患者的阿片类药物使用量以吗啡百万等值计;护理人员收集的疼痛评分.
- 腹腔镜 (n=286) 和机器人 (n=82) 组之间的结果比较.
主要成果:
- 总住院阿片类药物使用的中位数没有显著差异 (腹腔镜:52.3MME与机器人:40MME;P=13).
- 术后疼痛的平均分数在术后的第0天和第1天对两组都相似.
- 腹腔镜组在出院时处方阿片类药物的患者比例较高 (75.2%对62.2%;P=.02).
结论:
- 腹腔镜和机器人袖子胃切除术显示了可比的住院阿片类药物利用率.
- 术后疼痛管理在袖子胃切除术的机器人和腹腔镜方法之间是相似的.
- 在其他临床结果 (如停留时间或再入院) 中没有发现显著差异.
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