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术内冷痛疗法减轻桃体切除术后的疼痛尺度:随机对照试验的元分析
Shipin Wang1, Yaping Wu2, Yingli Xiao1
1Department of Otolaryngology-Head & Neck Surgery, West China Hospital, Sichuan University, Chengdu, China.
在所有年龄段的患者中,手术内冷痛疗显著降低了桃体切除术后的疼痛. 这种疼痛管理方法并没有增加术后出血的风险.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 疼痛管理 疼痛管理
- 手术创新 在外科创新.
背景情况:
- 桃体切除术是一种常见的外科手术.
- 桃体切除术后的疼痛显著影响患者的康复和生活质量.
- 有效的疼痛管理策略对于改善患者的治疗结果至关重要.
研究的目的:
- 评估手术内冷静痛疗法在桃体切除术后减轻主观疼痛评分中的有效性.
- 综合现有关于这个主题的随机对照试验的证据.
主要方法:
- 根据PRISMA标准进行了系统审查和元分析.
- 在PubMed,Web of Science和EMBASE数据库中进行了搜索.
- 包括英语随机对照试验 (RCT) 的患者进行了桃体切除术,有或没有手术内阴道痛解.
主要成果:
- 七个具有463名参与者的RCT被纳入了元分析.
- 术内冷静痛疗法显示,整体主观疼痛得分显著降低,以及在术后的第1天和第7天 (P < .001).
- 在冷凝和对照组之间没有观察到术后二次出血率的显著差异 (P = .06).
结论:
- 术内低温痛解术是一种有效的方法,可以减少桃体切除术后的主观疼痛.
- 低温痛解对减轻疼痛的益处在手术后的不同时间点上是一致的.
- 低温痛解似乎不会增加二次出血并发症的风险.
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