乳房切除术后的急性和持续的术后疼痛:在第三级医院队列中进行了一项描述性研究
Jenna Donaldson1, Sami Swadi2, Chris Frampton3
1Provisional Fellow, Department of Anaesthesia, Dunedin Hospital, Dunedin.
The New Zealand medical journal
|August 22, 2024
概括
乳腺切除术后疼痛综合征 (PMPS) 是罕见的,但乳腺切除术后持续疼痛是常见的. 年龄较小,手术和化疗会增加风险. 仔细的患者辅导是必不可少的.
科学领域:
- 在瘤学瘤学.
- 疼痛医学 医学 疼痛医学
- 临床外科 临床外科
背景情况:
- 乳房切除术后疼痛综合征 (PMPS) 显著影响生活质量.
- 关于新西兰人群中PMPS患病率的数据有限.
- 这阻碍了有效的术后疼痛管理讨论.
研究的目的:
- 为了确定急性术后止痛药的需求.
- 为了确定PMPS的患病率,至少在手术后一年.
- 确定与PMPS相关的风险因素.
主要方法:
- 追溯性,单一中心研究.
- 包括130名乳腺切除术患者.
- 对59名参与者进行了12个月的随访.
主要成果:
- 术后急性疼痛是可以用口服止痛药来控制的.
- 66%的人报告持续疼痛;与年轻年龄有关,下手术,化疗.
- 只有5%的人符合PMPS标准,这限制了严重疼痛的风险因素分析.
结论:
- 虽然PMPS很少发生,但乳房切除术后持续的疼痛是常见的.
- 临床医生必须对风险因素进行监测,并为患者提供咨询.
- 对不太严重的疼痛并发症保持警至关重要.
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