额外的低压肺部招募,以减少妇科腹腔镜后的肩部疼痛:一个随机对照试验
Amornrat Temtanakitpaisan1, Teerayut Temtanakitpaisan1, Chaiyaporn Pratipanawatr1
1Department of Obstetrics and Gynaecology, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand.
Obstetrics & gynecology science
|January 21, 2024
概括
额外的低压肺部招募在妇科腹腔镜手术后没有显著减少肩部疼痛. 标准的术后止痛疗法是有效的,使得额外的招募机动不必要的疼痛管理.
科学领域:
- 麻醉学 麻醉学
- 肺部医学 肺部医学
- 手术疼痛管理手术疼痛管理
背景情况:
- 手术后的肩部疼痛是腹腔镜手术后的常见并发症.
- 肺部招募机动用于改善肺功能.
- 低压肺部招募用于减轻疼痛的疗效尚未得到充分证实.
研究的目的:
- 评估额外的低压肺部招募在减少手术后肩部疼痛方面的有效性.
- 评估这种干预对止痛药需求的影响.
主要方法:
- 进行了一项双盲随机对照试验.
- 经过腹腔镜妇科手术的40名患者被随机分配到干预 (低压肺部招募) 和对照组.
- 使用数值评分表来评估手术后24小时和48小时的肩部疼痛.
主要成果:
- 在手术后24小时或48小时,干预组和对照组之间没有观察到肩部疼痛得分的统计学上显著差异.
- 在这两个时间点,各组的平均疼痛分数在两组之间是可比的.
- 两组之间在使用额外的止痛药时没有显著差异.
结论:
- 额外的低压肺部招募在良性妇科疾病的腹腔镜手术后减少肩部疼痛方面没有显著的益处.
- 当有效的术后24小时止痛药物被使用时,干预可能不会有益.
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