物理稳定在VATS疼痛控制中的治疗潜力:一个随机对照试验
Cheng-Yi Fan1, Chi-Wei Lin2, Chih-Wei Sung1,3
1Department of Emergency Medicine, National Taiwan University Hospital Hsin-Chu Branch, Hsinchu, 300, Taiwan.
Updates in surgery
|September 15, 2024
概括
使用胸带进行身体稳定可以改善视频辅助胸腔镜手术 (VATS) 患者的术后疼痛控制. 这种非药物方法增强了缓解疼痛的效果,特别是在手术后24至48小时.
科学领域:
- 胸部外科手术 胸部外科手术
- 疼痛管理 疼痛管理
- 最少侵入性手术的方法
背景情况:
- 视频辅助胸腔镜手术 (VATS) 是一种常见的微创手术.
- 尽管有好处,但患者往往会经历中度至重度的VATS后疼痛.
- 目前的疼痛管理策略,包括区域和全身止痛,可能不足.
研究的目的:
- 调查物理稳定作为一种非药物方法用于VATS后疼痛控制的可行性.
- 评估胸带在治疗VATS后疼痛方面的有效性.
- 评估身体稳定对患者报告的疼痛评分的影响.
主要方法:
- 进行了一项单盲,随机对照试验.
- 患者被分配到身体稳定组 (胸带) 或标准护理组.
- 两组都接受了标准止痛药 (IVPCA和口服止痛药).
主要成果:
- 物理稳定在VATS后24至48小时显著增强了镇痛效果 (p=0.031).
- 干预没有影响IVPCA的剂量或口服止痛药的使用.
- 没有报告与胸皮带相关的并发症或不良手术结果.
结论:
- 用胸带进行体力稳定是VATS后疼痛控制的有益补充.
- 这种方法在手术后的24-48小时内特别有效.
- 胸带的使用是安全的,并且不会增加对药理性止痛的需要.
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