术后肩部疼痛与左侧腹腔镜泌尿外科手术之间的关联:单中心回顾性队列研究
Hiroko Fujimoto1, Yusuke Nagamine2, Takahisa Goto2
1Department of Anesthesiology and Critical Care Medicine, Yokohama City University Graduate School of Medicine, 3-9 Fukuura, Kanazawa-Ku, Yokohama, Kanagawa, 236-0004, Japan. pochi@yokohama-cu.ac.jp.
Journal of anesthesia
|April 20, 2024
概括
接受左侧泌尿外科腹腔镜手术的患者经历了更多的手术后肩部疼痛. 这一发现强调了手术方面在治疗术后不适方面的重要性.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 外科手术的结果
- 疼痛管理 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.
- 侧卧姿势通常用于泌尿外科腹腔镜手术.
研究的目的:
- 为了确定手术侧是否影响手术后肩部疼痛的发生率,在尿道外科腹腔镜手术患者在横卧位置.
主要方法:
- 对506名接受了泌尿外科腹腔镜手术的患者进行了回顾性队列研究.
- 收集了有关患者人口统计,手术细节和手术后肩部疼痛的数据.
- 使用多变量逻辑回归分析来评估手术侧和疼痛之间的关联.
主要成果:
- 手术后肩部疼痛的发生率在左侧手术组 (21.3%) 与右侧手术组 (13.4%) 相比显著更高.
- 经过对混因子进行调整后,左侧手术仍然与术后肩部疼痛的风险增加显著相关 (调整后的几率比率=1.89).
结论:
- 左手术侧与在侧卧姿势下进行泌尿外科腹腔镜手术后后术后肩部疼痛的发病率较高有关.
- 这表明手术规划和患者定位可能在缓解手术后肩部疼痛方面发挥作用.
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