在非输管单门VATS叶切除术后的慢性术后疼痛
Attila Farkas1, Tímea Csókási2, Csongor Fabó3
1Department of Thoracic Surgery, Markusovszky University Teaching Hospital, Szombathely, Hungary.
Frontiers in surgery
|November 29, 2023
概括
这项研究比较了直管 (iVATS) 和非直管 (NITS) 胸部手术后的慢性疼痛. 虽然非输管患者的止痛药使用量略低,但在手术后3,6或12个月,这种差异在统计学上并不显著.
科学领域:
- 胸部外科手术 胸部外科手术
- 麻醉学 麻醉学
- 疼痛管理 疼痛管理
背景情况:
- 胸腔外科手术患者面临患慢性术后疼痛的高风险.
- 诸如手术方法和麻醉技术等因素会影响疼痛的结果.
- 单门VATS叶切除术是一种常见的胸部手术,使用不同的麻醉方法.
研究的目的:
- 为了调查在非输入管的单门VATS叶切除术后出现的慢性术后疼痛的发生率.
- 为了比较输入管 (iVATS) 和非输入管 (NITS) 自发通风方法之间的止痛药的使用,在单门VATS叶切除术中.
主要方法:
- 从67名接受单门VATS叶切除术的患者的人口统计和术后数据的回顾性分析.
- 倾向性得分匹配被用来比较35位被直管 (iVATS) 和32位未被直管 (NITS) 的患者.
- 疼痛药物的使用在手术后的3,6个月和12个月被评估.
主要成果:
- 在手术后3,6或12个月内,NITS和IVATS组之间的止痛药消费没有统计学上显著的差异 (p > 0.05).
- 在NITS组中观察到一种稍微较低的止痛药使用趋势 (在IVATS中高出2%).
- 糖尿病是慢性疼痛的重要危险因素 (p=0.03).
结论:
- 与直管式 (iVATS) 方法相比,非直管式单门VATS叶切除术 (NITS) 没有显示出与直管式 (iVATS) 方法相比,慢性术后疼痛的统计显著减少.
- 观察到的止痛药消耗的2%差异表明,在这种情况下,NITS可能不会为疼痛管理提供明显的优势.
- 可能需要进一步的研究,以充分阐明与不同的VATS麻醉技术相关的长期疼痛结果.
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