慢性术后疼痛 (CPSP):在切口治疗后的一个被低估的问题
A Widder1, L Reese2, J F Lock1
1Department of General, Visceral, Transplantation, Vascular and Paediatric Surgery, Centre of Operative Medicine (ZOM), University Hospital of Wuerzburg, Würzburg, Germany.
Hernia : the journal of hernias and abdominal wall surgery
|March 25, 2024
概括
慢性术后疼痛 (CPSP) 在开放切口修复后影响超过一半的患者,显著降低了生活质量. 通过止痛药的早期识别可能有助于管理这种常见的并发症.
科学领域:
- 手术成果研究的研究结果.
- 疼痛管理 疼痛管理
- 的手术并发症的手术并发症
背景情况:
- 慢性术后疼痛 (CPSP) 是开放切口修复后的一个重大问题.
- 尽管成功修复,但CPSP可能会对患者的生活质量 (QoL) 产生负面影响.
研究的目的:
- 为了确定CPSP在开放的切口修复后的发病率和结果.
- 识别与发展CPSP相关的风险因素.
主要方法:
- 对182名接受开放切口修复的患者 (2015-2021) 的回顾性分析.
- 评估先前存在的疾病,的复杂性,以及手术后的止痛药.
- 使用 EuraHS QoL 问卷对 QoL 和 CPSP 的评估.
主要成果:
- 在46个月的随访期间,观察到54.4%的CPSP发病率,包括14.8%的严重CPSP (sCPSP).
- 在CPSP和非CPSP组之间,的复杂性或人口统计没有显著差异.
- 据报道,患有CPSP的患者的QoL显著降低,初始止痛剂得分更高.
结论:
- CPSP是开放切口修复的频繁且被低估的并发症,影响了QoL.
- 通过止痛药评分来评估外科手术期间的止痛药需求,可以识别患有CPSP风险的患者.
- 及时调整疼痛管理可能有助于缓解CPSP的严重程度或慢性.
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