术前疼痛敏感性及其与术后急性和慢性疼痛的相关性:系统性审查和元分析
Fan Wu1, Jiehui Liu1, Liang Zheng2
1Department of Anaesthesiology, School of Medicine, Tongji Hospital, Tongji University, Shanghai, China.
British journal of anaesthesia
|June 15, 2024
概括
手术前的疼痛敏感度预测了手术后的疼痛. 较低的压力和电气疼痛值,以及较高的时间疼痛总和,与急性疼痛有关,而只有时间疼痛总和可以预测慢性疼痛.
科学领域:
- 疼痛研究 疼痛研究
- 临床疼痛管理 临床疼痛管理
- 系统性审查和元分析.
背景情况:
- 手术前疼痛敏感性 (PPS) 是术后疼痛的潜在预测因素,但证据有限.
- 识别患有严重术后疼痛风险的患者对于有效的止痛策略至关重要.
- 这一系统性审查和元分析综合了关于PPS的现有数据及其与术后疼痛结果的相关性.
结论:
- 特定的术前疼痛敏感度指标,包括PPT,EPT和TSP,与急性术后疼痛有关.
- 疼痛的时间总和 (TSP) 是急性和慢性术后疼痛的重要预测因素.
- 临床医生应确定患有异常的手术前疼痛敏感度的患者进行有针对性的早期干预,以优化疼痛缓解.
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