使用外科整形位指数在预测在全身麻醉下进行玻璃切除术后患者的术后疼痛的可能性
Michał Jan Stasiowski1,2, Anita Lyssek-Boroń3,4, Magdalena Kawka-Osuch3
1Chair and Department of Emergency Medicine, Division of Medical Sciences in Zabrze, Medical University of Silesia, 40-555 Katowice, Poland.
Diagnostics (Basel, Switzerland)
|February 24, 2024
概括
在全身麻醉 (GA) 之前和之后的手术填充指数 (SPI) 值可以预测在玻璃视网膜外科手术 (VRS) 中无法忍受的术后疼痛感知. 手术前的SPI是预测疼痛和指导干预的可行工具.
科学领域:
- 麻醉学 麻醉学
- 眼科医生 眼科 眼科
- 疼痛管理 疼痛管理
背景情况:
- 在全身麻醉 (GA) 期间,麻醉 (AoA) 引导的充分性依赖于,反映了麻醉深度和外科整形指数 (SPI).
- 玻璃甲状腺手术 (VRS) 在麻醉后的疼痛管理方面存在独特的挑战.
研究的目的:
- 调查VRS的AoA引导GA期间的SPI值与无法忍受的术后疼痛感知 (IPPP) 的发生率之间的关系.
- 评估手术前的SPI对IPPP在VRS之后的预测能力.
主要方法:
- 在GA下接受VRS的175名患者被分为五组,包括前期药物治疗的变化和周腹膜阻塞.
- 在GA的特定阶段记录了SPI值,并评估了手术后的疼痛感知.
- 监测心率变化作为相关因素.
主要成果:
- 观察到IPPP在诱导前和GA出现后的SPI值之间存在统计学上显著的差异 (分别p < 0.05和p < 0.001).
- 术后心率变化与疼痛感知相关,不论分组分配如何.
- 手术前的SPI值证明了在VRS后预测IPPP的可行性.
结论:
- 手术前的SPI值是一种可行的工具,用于预测在AoA引导的GA下接受VRS的患者的IPPP.
- SPI值,特别是当与心率变化相关时,有助于区分轻微的不适和IPPP.
- 了解SPI,IPPP和血液动力学波动之间的相互作用对于减轻不良事件至关重要.
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