腹腔镜胆囊切除术后减轻疼痛的活性气体吸收:随机对照试验的系统审查和元分析
Ahmed K Haneef1,2, Elaf A Aljohani1,3, Raghad S Alzahrani4,5
1College of Medicine, King Saud Bin Abdulaziz University for Health Sciences, Jeddah, Saudi Arabia.
Surgical endoscopy
|January 11, 2024
概括
与被动吸气相比,活性气体吸气显著减少了腹腔镜胆囊切除术后的术后肩部疼痛和止痛需求. 这种简单的技术可以改善患者的康复,而无需额外费用.
科学领域:
- 手术创新 在外科创新.
- 疼痛管理 疼痛管理
- 胃肠道手术 胃肠道手术
背景情况:
- 手术后的疼痛是腹腔镜胆囊切除术后的一个重大挑战.
- 优化疼痛管理和减少止痛药的需求对于患者的康复和医疗保健效率至关重要.
研究的目的:
- 为了比较活跃气体吸收与被动气体吸收在缓解腹腔镜胆囊切除术后的术后疼痛和止痛药消耗方面的疗效.
- 评估活性气体吸收对患者结果的影响,包括疼痛评分和住院时间.
主要方法:
- 进行了随机临床试验的系统审查和元分析.
- 搜索的数据库包括到2022年12月21日的Embase,Medline和CENTRAL数据库.
- 纳入了五项试验,共367名参与者,分析了疼痛得分,止痛剂需求和住院时间.
主要成果:
- 活性气体吸收导致剩余气体体积和总止痛要求显著降低.
- 接受活性气体吸收的患者在术后24小时报告了显著降低肩部疼痛得分.
- 两组之间在住院时间或腹痛得分方面没有发现显著差异.
结论:
- 活性气体吸收是一种有效的方法,可以减少腹腔镜胆囊切除术后的术后肩部疼痛和止痛要求.
- 这种干预措施为患者护理和医疗保健成本提供了潜在的好处,而没有额外的负担.
- 需要进一步的研究来探索其在其他腹腔镜手术中的应用.
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