一个连续的伤口透系统可以取代静脉注射患者控制的止痛治疗术后的疼痛管理单端口接入显微镜后?
Jun-Hyeok Kang1, Yumi Seo2, Hyunji Lee2
1Department of Obstetrics and Gynecology, Uijeongbu Eulji Medical Center, Eulji University School of Medicine, Uijeoungbu-si 11759, Republic of Korea.
连续伤口透 (CWI) 提供了后附带腹腔镜治疗的有效疼痛控制,与静脉注射患者控制的止痛疗法 (IV PCA) 相比,副作用较少. 结合这两种方法,可以提供最佳的疼痛管理,但副作用适度.
科学领域:
- 妇科 妇科 妇科 妇科
- 手术疼痛管理手术疼痛管理
- 麻醉学 麻醉学
背景情况:
- 附带性疾病往往需要手术干预,需要有效的术后疼痛管理.
- 单端口接入 (SPA) 腹腔镜是一种用于附性疾病的最小侵入性技术.
- 在SPA腹腔镜术后优化疼痛控制对于患者的康复至关重要.
研究的目的:
- 评估持续性伤口透 (CWI) 作为治疗术后疼痛的静脉注射患者控制止痛 (IV PCA) 的替代方案.
- 为了研究有效的疼痛控制策略,在SPA腹腔镜检查副性疾病后.
- 为了比较CWI,IVPCA及其组合的疗效和副作用概况.
主要方法:
- 对470名接受SPA附带腹腔镜手术的患者进行了回顾性审查.
- 患者被分为CWI,IV PCA或CWI和IV PCA组合的组.
- 评估了疼痛评分 (数值评分表),芬太尼的消费,以及术后恶心和吐 (PONV) 的发生率.
主要成果:
- 与IVPCA组相比,联合组在手术后6,12和24小时显示出明显较低的疼痛评分.
- CWI的疼痛缓解与IVPCA的疼痛缓解相当,除了急性术后阶段 (6小时内).
- CWI组的PONV发病率明显低于IVPCA组;组合组也显示了减少PONV和抗药的使用.
结论:
- 连续伤口透 (CWI) 是IVPCA的可行的替代方案,用于在SPA附带腹腔镜术后管理疼痛.
- 与IVPCA相比,CWI提供了有利的副作用概况,特别是降低了PONV.
- 结合CWI和IVPCA的方法代表了强大的疼痛减轻与可管理的副作用的理想策略.
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