用二碳酸和正常盐水进行腹腔内灌的比较,以减少手术术后的疼痛:一项随机对照试验
Ankita Agarwal1, Rinchen Zangmo1, Deepali Garg1
1Obstetrics and Gynecology, All India Institute of Medical Sciences, New Delhi, New Delhi, IND.
Cureus
|November 29, 2023
概括
碳酸灌显著减少了腹腔镜妇科手术后的术后疼痛. 这种方法提供了一种有希望的方法,可以提高患者在这些程序后的恢复和舒适度.
科学领域:
- 妇科 妇科医生 妇科
- 手术疼痛管理手术疼痛管理
- 麻醉学 麻醉学
背景情况:
- 在腹腔镜中注入二氧化碳可以创建酸性腹环境,可能导致疼痛.
- 碳酸可以中和这种酸度,减轻腹膜刺激和神经损伤.
- 减少术后疼痛对于患者在妇科手术后的康复和满意度至关重要.
研究的目的:
- 评估腹膜内二碳酸灌在腹腔镜妇科手术后减轻术后疼痛的疗效.
- 为了比较接受二碳酸和接受正常盐水的患者之间的疼痛评分.
- 为了研究二碳酸对手术后不同时间点和位置的疼痛的影响.
主要方法:
- 进行了一项单中心,前性,双盲,随机对照试验.
- 40名患者接受了腹腔内二碳酸 (I组),而40名患者接受了正常盐水 (II组).
- 视觉模拟尺度 (VAS) 评分被用于评估在肩尖,腹部和端口部位的术后疼痛.
主要成果:
- 两组之间没有观察到手术持续时间的显著差异.
- 在肩尖疼痛手术后2,4小时和12小时,碳酸组报告了显著较低的VAS得分 (p<0.05).
- 在干预组24小时内,腹部和部疼痛VAS得分也显著降低 (p<0.05).
结论:
- 用二碳酸灌腹腔内,有效地减少手术后腹腔镜术中的术后疼痛.
- 这种干预措施有望改善妇科腹腔镜手术中患者的治疗结果.
- 建议进行更多的多中心试验,参与者数量更大,以确认这些发现.
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