手术后的疼痛是否与脊椎外科手术后的恶心和吐有关?
Seher Orbay Yaşlı1, Dilek Günay Canpolat2, Fatma Dogruel3
1Assistant Professor in Anesthesiology, Department of Oral and Maxillofacial Surgery, Erciyes University Faculty of Dentistry, Melikgazi, Kayseri, Turkey.
手术后恶心和吐 (PONV) 是常见的 bimaxillary 手术后. 较高的疼痛分数与PONV发病率的增加显著相关,突出显示疼痛管理对患者康复至关重要.
科学领域:
- 口腔和牙面部外科手术
- 麻醉学 麻醉学
- 患者的治疗结果.
背景情况:
- 手术后恶心和吐 (PONV) 是经过整形手术的常见并发症.
- 手术后疼痛是一种潜在的风险因素,有助于PONV发病率.
研究的目的:
- 调查术后疼痛水平与PONV发生之间的关联.
- 要量化疼痛强度和PONV之间的关系,在经历了bimaxillary手术的患者.
主要方法:
- 一个前性队列研究,涉及86名接受双手术的患者.
- 术后疼痛使用视觉模拟尺度 (VAS) 评估30分钟 (VAS1) 和平均在前三小时 (VAS2).
- PONV的发生和时间 (早期,晚期,延迟) 是主要的结局;共同变量包括年龄,性别,BMI和手术因素.
主要成果:
- 在研究人群中,PONV的总发病率为50%.
- 与没有PONV的患者相比,经历PONV的患者报告了显著更高的VAS疼痛得分.
- VAS1评分为60.0 (PONV组) 和50.0 (非PONV组) (P=.041);VAS2评分为60.0和40.0 (P<.001).
结论:
- 毕马克斯手术后PONV的大量频率强调了有效的风险因素管理的必要性.
- 治疗和管理术后疼痛对于改善PONV结果和增强患者的术后经验至关重要.
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