在三级保健中心进行 laparoscopic 胆囊切除术后的术后疼痛:一项描述性的横截面研究
Binod Bade Shrestha1, Gajal Lakhe2, Pradeep Ghimire1
1Department of General Surgery, Manipal College of Medical Sciences, Phulbari, Pokhara, Nepal.
JNMA; journal of the Nepal Medical Association
|October 6, 2024
概括
在 laparoscopic 胆囊切除术后,大多数患者会出现轻度至中度的伤口疼痛. 这种疼痛强度在手术后48小时内显著下降.
科学领域:
- 外科手术的结果
- 疼痛管理 疼痛管理
背景情况:
- 与开放式手术相比,腹腔镜胆囊切除术提供了诸如较小的切口和更快的恢复等好处.
- 尽管是最小的侵入性,腹腔镜胆囊切除术并非没有疼痛.
- 了解手术后疼痛的患病率对于患者护理至关重要.
研究的目的:
- 为了确定腹腔镜胆囊切除术后伤口疼痛的患病率.
- 评估手术后不同时间点的疼痛强度.
主要方法:
- 一项描述性的横截面研究,涉及125名患有症状胆结石疾病 (ASA级I和II) 的患者.
- 在手术后12,24,36和48小时测量了伤口部位的疼痛.
- 数据使用SPSS版本21.0.0进行分析.
主要成果:
- 在12小时后,96%的患者报告中度疼痛.
- 严重的疼痛很少见,患病率随着时间的推移而下降.
- 在36小时后,68%的人报告轻度疼痛,在48小时后,93.6%的人报告轻度疼痛;中度疼痛显著下降.
结论:
- 大多数患者在腹腔镜胆囊切除术后经历轻度至中度的伤口疼痛.
- 疼痛强度通常会在手术后的前48小时内减弱.
关键词:
胆囊切除术;腹腔镜;疼痛;术后.相关概念视频
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