双边正管肺移植手术后的疼痛轨迹是通过贝切口进行的
Negmeldeen Mamoun1, Morgan A Rosser1, Michael Manning1
1Department of Anesthesiology, Duke University Medical Center, Durham, North Carolina, USA.
Clinical transplantation
|February 19, 2024
概括
大多数通过贝切口进行双边正管肺移植 (BOLT) 的患者经历了控制良好的急性疼痛. 早期胸腔外围止痛可能有助于手术后的疼痛管理结果.
科学领域:
- 胸部外科手术 胸部外科手术
- 疼痛管理 疼痛管理
- 移植医学是一种移植医学.
背景情况:
- 通过贝切口进行双边正管肺移植 (BOLT) 后的急性疼痛尚不清楚.
- 调查疼痛进展对于优化患者康复至关重要.
研究的目的:
- 用贝切口来描述BOLT后的急性疼痛轨迹.
- 为了识别患有不同疼痛模式的患者群体.
- 探索疼痛轨迹和外科手术期间变量之间的关联.
主要方法:
- 通过贝切口进行初级BOLT的成年患者的回顾性分析 (2017-2022年).
- 在术后前七天收集的疼痛评分被模拟.
- 潜在类分析确定了不同的疼痛轨迹组.
主要成果:
- 分析了301名患者,揭示了三组疼痛轨迹.
- 大多数 (72.8%) 患者表现出一种控制良好的,稳定的疼痛轨迹.
- 10% (早期) 和17.3% (晚期) 的术后期出现了不受控制的疼痛;晚期的疼痛与年轻的,更生病的患者有关.
结论:
- 尽管有切口,但大多数BOLT患者表现出可控的急性疼痛.
- 常规的早期胸部外周止痛可能是实现有利疼痛概况的关键因素.
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