预测肝胆和胰腺手术后急性疼痛的风险因素:一个观察病例对照研究
Hui Zhang1,2, Yi Tian Yang1,2, Lulu Jiang1,2
1Department of Anesthesiology and Perioperative Medicine, People's Hospital of Zhengzhou University, Zhengzhou, Henan, China.
BMJ open
|August 29, 2024
概括
年轻的年龄,较低的BMI,开放式手术和sufentanil止痛是肝胆道和胰腺手术后中度至严重疼痛的危险因素. 不充分的疼痛管理会延长住院时间.
科学领域:
- 肝胆道和胰腺外科手术.
- 疼痛管理 疼痛管理
- 外科手术的结果
背景情况:
- 不充分的术后止痛与并发症,延长住院时间和降低生活质量有关.
- 有效的疼痛管理对于重大手术后的患者康复至关重要.
研究的目的:
- 在肝胆和胰腺重大手术后的24小时和24-48小时内识别中度至严重的术后疼痛的危险因素.
- 了解影响这种患者群体疼痛严重程度的预测因素.
主要方法:
- 从2018年1月到2020年8月,对2180名从2018年1月到2020年8月接受重大肝胆和胰腺手术的患者进行了回顾性分析.
- 使用单变量和多变量逻辑回归分析来确定术后疼痛的显著风险因素.
主要成果:
- 在手术后24小时内,8.4%的患者出现中度至严重的疼痛.
- 疼痛的独立风险因素包括年龄较小,较低的体重指数 (BMI),开放式手术和在止痛方案中使用sufentanil.
- 疼痛缓解不足的患者经历了更长的术后住院时间.
结论:
- 年龄,BMI,手术方法 (开放式与腹腔镜) 和特定的止痛药是术后疼痛的重要预测因素.
- 这些发现突出了在肝胆和胰腺手术患者优化疼痛管理策略时需要考虑的关键因素.
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