预测剖腹产后急性疼痛的严重程度:叙述性审查
Lisa Sangkum1,2, Theerawat Chalacheewa1,2, Choosak Tunprasit1,2
1Department of Anesthesiology, Faculty of Medicine, Ramathibodi Hospital Mahidol University, Bangkok, 10400, Thailand.
Current pain and headache reports
|July 23, 2024
概括
鉴定剖腹产后患有严重疼痛风险的患者至关重要. 术前评估可以帮助分层风险,远离一刀切的疼痛管理策略.
科学领域:
- 麻醉学 麻醉学
- 疼痛管理 疼痛管理
- 产科 产科 产科 产科 产科
背景情况:
- 剖腹产是一种常见的手术,在28-78%的患者中报告了明显的术后疼痛.
- 目前的疼痛管理往往是一个适合所有人的方法,对许多人来说可能不足.
- 剖腹产后的严重疼痛与不良结果有关.
研究的目的:
- 审查手术前风险评估方法,以确定患有严重剖腹产后疼痛风险的患者.
- 探索剖腹产后个性化止痛管理的策略.
主要方法:
- 关于剖腹产后疼痛手术前风险分层的最近临床研究的综述.
- 对人口统计,心理和感官测试数据的分析.
- 对局部麻醉透的反应的评估.
主要成果:
- 术前评估 (人口统计,心理,查测试,感官测试) 可以分层对剖腹产后严重疼痛的风险.
- 几种疗法与疼痛结果有相关性,尽管往往较弱至适度.
- 术前数据和查工具可以识别严重急性疼痛的高风险患者.
结论:
- 虽然缺乏共识,但术前风险评估工具可以在临床上对治疗剖腹产后疼痛有帮助.
- 为了更准确的预测和个性化的止痛疗法,需要进一步的研究.
- 识别有风险的患者可能会改善止痛效果并减少不良影响.
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