预测儿童手术后疼痛:使用疼痛值指数的观察性研究
Zenghui Liang1, Yanle Xie1,2, Shuhan Chen1,2
1Department of Anesthesiology, Pain and Perioperative Medicine, the First Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan, China.
Frontiers in pediatrics
|August 2, 2024
概括
仅仅疼痛值指数 (PTI) 对于预测儿童手术后疼痛的准确性有限. 将PTI与性别和BMI等其他因素相结合,可以提高其预测能力,特别是在年长的儿童中.
科学领域:
- 麻醉学 麻醉学
- 儿科手术 儿科手术
- 疼痛管理 疼痛管理
背景情况:
- 疼痛值指数 (PTI) 是监测镇痛-疼痛平衡的潜在工具.
- 它在预测儿科患者手术后疼痛的有效性需要进一步验证.
研究的目的:
- 评估儿童手术后疼痛疼痛值指数 (PTI) 的预测准确度.
- 将PTI的预测性能与其他生理指标进行比较.
主要方法:
- 一项研究包括90名接受全科手术的儿童 (年龄在2-16岁).
- 收集的数据包括PTI,波纹指数 (WLI),心率 (HR) 和出现前的平均动脉压 (MAP).
- 手术后的疼痛在醒来后被评估,并使用接收器操作特征 (ROC) 分析.
主要成果:
- 仅PTI对术后疼痛的预测值有限 (AUC为0.659).
- 一个多变量模型将PTI与性别,BMI,HR和MAP结合起来,证明了更好的准确性 (AUC 0.768).
- 与较年轻的年龄组相比,PTI的预测准确性在老年儿童中更高 (AUC为0.796岁至9岁至16岁).
结论:
- 疼痛值指数 (PTI) 作为2-16岁儿童手术后疼痛的独立预测指标是不够准确的.
- 将PTI与临床因素相结合,提高了其预测能力.
- PTI显示出更大的潜力来预测老年儿科患者的疼痛.
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