口腔针对经术后疼痛缓解在老年患者进行腹腔镜激进胃切除术的影响:一个随机对照试验
Dong-Xue Zhu1, Yan-Ling Yang2, Lei Yang1
1Department of Anesthesiology, The Affiliated Jiangning Hospital of Nanjing Medical University, Nanjing, China.
Frontiers in neurology
|July 10, 2024
概括
手术前的口腔针显著减少了经过胃切除术的老年患者的疼痛,并改善了他们的康复. 这种方法还减少了压力和炎症,增强了术后止痛.
科学领域:
- 麻醉学和疼痛管理
- 手术瘤学手术瘤学
- 综合医学是一个整体的医学.
背景情况:
- 接受腹腔镜激进胃切除术的老年患者经历了显著的术后疼痛和压力.
- 有效的疼痛管理和减轻压力对于优化康复和最大限度地减少这一群体的并发症至关重要.
研究的目的:
- 评估口腔针在经过腹腔镜激进胃切除术的老年患者中治疗术后疼痛的疗效和安全性.
- 评估口腔针对外科手术期间应激反应和不良事件的影响.
主要方法:
- 一项前性随机对照试验,涉及90名老年患者 (65-80岁) 进行腹腔镜激进胃切除术.
- 患者被分配到口腔针组或对照组,针组在通用麻醉诱导前接受治疗.
- 评估了手术后的疼痛 (视觉模拟量表),sufentanil消费,压力标志物和恢复时间.
主要成果:
- 口腔针组在24小时内显示出明显较低的视觉模拟量表得分,并在术后48小时内减少了sufentanil的消耗 (p < 0.01).
- 接受口腔针的患者的觉醒时间,输出管时间和住院时间较短 (p ≤ 0.028).
- 与对照组相比,口腔针在24小时内显著降低了术后压力和炎症反应.
结论:
- 手术前的口腔针可以增强术后的疼痛缓解,并加速老年患者的康复,这些老年患者接受了腹腔镜激进胃切除术.
- 该机制涉及减轻术后压力和炎症反应.
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