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脊椎手术后的术后疼痛 - - 表面/全侧脊椎切除术和外切除术之间的比较:一个前性观察性研究
Valentin Jansen1, Antoniu-Oreste Gostian2, Moritz Allner1
1Department of Otorhinolaryngology, Head & Neck Surgery, Comprehensive Cancer Center Erlangen-EMN, Friedrich-Alexander-Universität (FAU), Erlangen-Nuremberg, Germany.
概括
脊椎手术后的术后疼痛在表面/总脊椎切除和外切割之间是相似的. 这两种手术方法都会导致轻度至中度疼痛,在急性阶段没有发现显著的神经病变成分.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 手术瘤学手术瘤学
- 疼痛管理 疼痛管理
背景情况:
- 腺瘤需要手术干预,不同的方法可能会影响患者的康复.
- 评估术后疼痛对于优化患者的结果和满意度至关重要.
研究的目的:
- 用不同的手术技术来比较部手术后的术后疼痛和不适.
- 为了评估疼痛感知,止痛剂的需求,和患者的满意度跨手术方法.
主要方法:
- 一项临床研究比较了两个组:表面/全侧切除术 (SP/TP) 和外切除术 (ECD).
- 评估了行走时的疼痛,最大/最小的疼痛 (NRS 0-10),神经病痛成分,止痛药的使用和患者满意度.
- 用验证的问卷 (QUIPS,painDETECT®) 来评估疼痛和治疗结果.
主要成果:
- 在术后第一天,SP/TP和ECD组之间没有观察到行走时疼痛,最大疼痛或最小疼痛的显著差异.
- 与疼痛相关的限制和止痛药的需求在两组之间是可比的.
- 患者对疼痛管理的满意度相似,并且在急性术后阶段排除了神经性疼痛成分.
结论:
- 腺瘤的手术技术不会显著影响术后疼痛感知.
- 手术后的术后疼痛通常是轻度至中度的.
- 手术后的急性术后阶段没有显著的神经病痛疼痛成分的特征.
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