一个前性队列研究慢性术后疼痛在门诊手术后
Harsha Shanthanna1, Li Wang1, James Paul2
1Department of Anesthesia, St Joseph's Healthcare, McMaster University, Hamilton, ON, Canada.
Current medical research and opinion
|May 29, 2024
概括
近五分之一的患者在门诊手术后经历慢性术后疼痛 (CPSP),大多数病例中度至重度. 出院后的急性疼痛与CPSP有关,因此需要进一步研究持续护理策略.
科学领域:
- 疼痛医学 医学 疼痛医学
- 外科手术的结果
- 健行外科手术 健行外科手术
背景情况:
- 门诊手术后的慢性术后疼痛 (CPSP) 是研究不足的.
- 了解CPSP发生率和促成因素对于患者护理至关重要.
研究的目的:
- 确定在门诊手术后CPSP的发生率.
- 评估CPSP的强度,并确定相关因素.
- 评估中度至重度CPSP的发生率.
主要方法:
- 门诊外科手术患者的前性队列研究.
- 定义CPSP是术后持续3个月的疼痛.
- 使用后勤回归来探索与CPSP相关的因素,调整基线抑郁和灾难化.
主要成果:
- CPSP的发病率为18.8% (39/208),其中78%的人经历了中度至重度的疼痛.
- 平均CPSP强度在0-10级别上为5.5.
- 在前24小时增加的急性疼痛与3个月的中度至重度CPSP显著相关 (OR=1.28).
结论:
- 几乎五分之一的患者在门诊手术后发展CPSP,往往具有显著的疼痛强度.
- 放电后的急性疼痛是CPSP的一个预测因素.
- 需要进一步的研究,以制定有效的持续护理策略CPSP.
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