在小儿急性尾炎手术后,昼夜节律如何影响术后疼痛?
Faruk Cicekci1, Mehmet Sargin1, Fatma Ozcan Siki1
1Department of Anesthesiology and Reanimation, Selcuk University School of Medicine, Konya, Türkiye.
Anesthesia and pain medicine
|May 10, 2024
概括
儿童尾炎手术患者在夜间进行手术时经历了明显更高的疼痛评分,需要更多的止痛药. 这表明昼夜节律与儿童手术后疼痛管理之间存在联系.
科学领域:
- 儿科手术 儿科手术
- 疼痛管理 疼痛管理
- 时间生物学 时间生物学
背景情况:
- 手术后的疼痛是儿科手术的一个重要问题.
- 昼夜节律影响生理过程,可能影响疼痛感知和管理.
- 急性尾炎是儿童常见的手术紧急情况.
研究的目的:
- 为了研究手术时间 (心律) 和急性尾炎手术的儿童手术后疼痛之间的关系.
- 根据手术时间来评估疼痛评分和止痛药的需求.
主要方法:
- 在186名儿科患者 (6至18岁) 进行急性尾炎手术的前性观察研究.
- 根据手术时间分组患者:晚上 (01:01-07:00),上午 (07:01-13:00),下午 (13:01-19:00) 和晚上 (19:01-01:00).
- 使用Wong-Baker Faces Pain Rating Scale (FACEs) 在24小时内评估疼痛,并记录了止痛药的使用情况.
主要成果:
- 两组之间在人口特征或生命体征上没有发现显著差异.
- 在夜间进行手术的患者在手术后1,3,6和12小时报告了显著更高的FACEs疼痛得分.
- 与其他组相比,夜间组在手术后12小时内需要使用的止痛药量在统计上更高.
结论:
- 在儿童的夜间急性尾炎手术和昼夜节律之间存在显著的关系,影响术后疼痛.
- 应该考虑手术的时间,以有效地治疗儿科患者的术后疼痛.
- 进一步研究儿童手术患者缓解疼痛的时间疗法是有必要的.
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