相关实验视频

Updated: Jun 26, 2025

Reverse Total Shoulder Arthroplasty

Reverse Total Shoulder Arthroplasty

Published on: July 5, 2011

在逆向全肩关节整形术后疼痛的术前危险因素:系统性审查

Isa Waheed¹, Fenu Ediripolage², Isaamuddin Alvi³

¹Department of Trauma and Orthopaedics, Imperial College Healthcare NHS Trust, London, GBR.

|May 13, 2024

概括

手术前使用阿片类药物和吸烟是逆向全肩关节整形术 (rTSA) 后疼痛的关键风险因素. 识别这些可修改的因素可以改善这种常见手术的手术规划和患者的结果.

科学领域:

整形外科整形外科整形外科
疼痛管理疼痛管理
外科手术的结果

背景情况:

疼痛是逆向全肩关节整形术 (rTSA) 后的一个已知的并发症.
确定手术前的风险因素对于改善手术规划和患者的治疗结果至关重要.
基于证据的干预措施可以减轻术后疼痛.

研究的目的:

系统地审查和识别与RTSA后疼痛相关的术前风险因素.
提供有关RTSA的临床实践和手术决策的信息.
鼓励开发有针对性的手术前干预措施.

主要方法:

对报告了手术前风险因素和RTSA后疼痛的研究进行系统审查.
在主要数据库 (PubMed,科学网,Embase,Scopus,Cochrane) 进行的搜索.
纳入标准侧重于具有独立疼痛评分和手术前因素的研究;排除手术内因素或未成年人研究.

主要成果:

包括25项涉及9470个肩膀的研究.
在手术前使用阿片类药物和吸烟显示最强的关联与后rTSA更糟糕的疼痛结果.
其他因素,如BMI,X光学发现,年龄,性别,先前的手术,功能能力和心理社会因素显示的相关性较弱或不存在.

结论:

手术前使用阿片类药物和吸烟是rTSA后持续疼痛的重要危险因素.
识别可修改的风险因素可以优化术前管理和患者期望设置.
对不可修改的风险因素的进一步研究可能会扩大对rTSA患者候选人的理解.

关键词:

: 疼痛: 疼痛: 疼痛: 疼痛: 疼痛:预测因素是一个预测因素.预作术的计划预作术的计划在手术前的护理.反向的肩膀整形术.

更多相关视频

An Experimental Paradigm for the Prediction of Post-Operative Pain PPOP

An Experimental Paradigm for the Prediction of Post-Operative Pain PPOP

Published on: January 27, 2010

The Transition to an Anterior-Based Muscle Sparing Approach Improves Early Postoperative Function but is Associated with a Learning Curve

The Transition to an Anterior-Based Muscle Sparing Approach Improves Early Postoperative Function but is Associated with a Learning Curve

Published on: September 7, 2022

相关概念视频

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy

Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...

Pre-Procedural Guidelines for Assessing Blood Pressure

Pre-Procedural Guidelines for Assessing Blood Pressure

Accurate blood pressure assessment is crucial for diagnosing and managing various health conditions. To ensure the reliability of these measurements, healthcare professionals must adhere to standardized pre-procedural guidelines. These guidelines enhance patient safety and improve the overall quality of healthcare. The following steps are essential for obtaining accurate and consistent blood pressure readings, from using the appropriate tools to ensuring effective communication with the...