阴道分娩后的急性疼痛管理与周围裂或表皮切开术
Xavier Luxey1,2, Adrien Lemoine3, Geertrui Dewinter4
1Anesthesiology and Intensive Care Medicine, Hôpital Armand-Trousseau, DMU DREAM, AP-HP, Paris, Île-de-France, France.
Regional anesthesia and pain medicine
|May 21, 2024
概括
经过阴道分娩与周周创伤后有效的产后疼痛管理包括乙氨基,NSAIDs和冷包. 严重的撕裂可能受益于外围注射吗啡,而修复技术应该与撕裂的严重程度相匹配,以获得最佳的疼痛缓解.
科学领域:
- 产科和妇科 产科和妇科
- 疼痛管理 疼痛管理
- 产后护理 产后护理
背景情况:
- 阴道分娩可能会导致急性产后疼痛,特别是在围外伤的情况下.
- 目前对于这种疾病的疼痛管理策略尚未得到充分确立.
研究的目的:
- 系统地审查现有的关于经过阴道分娩与周围骨创伤后疼痛管理的文献.
- 为临床实践制定基于证据的建议.
主要方法:
- 对MEDLINE,Embase和Cochrane数据库进行了系统的搜索.
- 包括到2023年3月发表的随机对照试验 (RCT) 和系统审查.
- 通过使用Cochrane Covidence和RoB Vis 2工具来评估研究质量.
主要成果:
- 建议使用乙氨基和非类固醇抗炎药物 (NSAID) 作为一线止痛药.
- 建议在初始产后疼痛治疗时使用冰或冷包.
- 为减轻疼痛,建议对表皮切割/二度撕裂进行连续接,对一级/二级撕裂不使用接/接.
结论:
- 推的产后疼痛管理包括乙氨基,NSAIDs和冷包.
- 脊柱外注吗啡是为在监测下严重的围裂保留的.
- 手术修复技术应根据周围外伤的严重程度进行调整.
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