经过微创腹部癌症手术后的术后疼痛管理 - - 审计
Sumitra G Bakshi1, Sheetal Gupta, P N Jain
1Department of Anesthesia, Critical Care and Pain, Tata Memorial Hospital and Homi Bhabha National Institute, Mumbai, Maharashtra, India.
Indian journal of cancer
|July 28, 2024
概括
最少侵入性瘤手术 (MIOS) 通常会导致轻度疼痛. 然而,盆腔MIOS与其他腹部手术相比,导致更高的疼痛评分和阿片类药物消耗.
科学领域:
- 在瘤学瘤学.
- 麻醉学 麻醉学
- 疼痛管理 疼痛管理
背景情况:
- 有限的数据存在于微创瘤手术 (MIOS) 后的疼痛管理.
- 这项研究旨在评估MIOS患者的疼痛严重程度和止痛策略.
- 其次要目标包括评估阿片类药物使用,非阿片类止痛药,副作用和并发症对疼痛管理的影响.
研究的目的:
- 在不同类型的微创瘤手术中比较疼痛严重程度和止痛方式.
- 分析阿片类和非阿片类止痛药的使用,副作用和影响疼痛管理选择的因素.
主要方法:
- 针对腹部瘤进行选择性MIOS的成年患者的回顾性审计 (2017年8月至2018年7月).
- 数据收集包括疼痛评分 (PS) 和与手术期间使用的吗啡相当剂量 (ME).
- 统计分析涉及千平方测试和ANOVA与邦费罗尼的校正,以比较手术类型,疼痛方式和PS.
主要成果:
- 在349名患者中,76%报告了手术后轻度疼痛.
- 端口部位透和外周止痛分别在27%和13%的病例中使用.
- 盆腔MIOS与泌尿和诊断MIOS相比显示显著更高的PS和阿片类药物消耗 (ME = 5.7 ± 5.2 mg).
结论:
- 大多数患者在MIOS后经历了轻微的术后疼痛.
- 盆腔MIOS,如腹腔切除/除,与增加的疼痛评分和阿片类药物需求有关.
- 对特定MIOS的优化疼痛管理策略进行进一步的研究是有必要的.
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