在表皮切除术后治疗术后疼痛的海德罗摩外周注射:一种随机对照试验
Yixing Lu1, Siyan Liu2, Shunzhong Jing1
1Department of Anesthesiology, Maternal and Child Health Hospital of Guangxi Zhuang Autonomous Region, Nanning, China.
Scientific reports
|October 21, 2024
概括
腹腔外注水利摩尔有效地减少了产后疼痛从表皮切割. 虽然它增加了吐和,但它没有对新生儿食产生负面影响,也没有引起其他严重的副作用.
科学领域:
- 产科和妇科 产科和妇科
- 麻醉学 麻醉学
- 疼痛管理 疼痛管理
背景情况:
- 术后产后疼痛可以显著影响母亲的康复和福祉.
- 有效的疼痛管理策略对于改善产后体验至关重要.
研究的目的:
- 为了评估外围注射水利摩尔在经皮切除术后治疗产后疼痛的疗效和安全性.
- 为了比较患者的疼痛评分和止痛药的需求,接收Hydromorphone与液 epidurally.
主要方法:
- 一项随机对照试验,涉及产后母亲,她们经过阴道分娩和表皮切除术.
- 参与者接受了0.5毫克海德罗摩 (组HY) 或盐水 (组NS) 的外周注射.
- 记载了疼痛评分,需要额外的止痛药以及不良事件,并在各组之间进行了比较.
主要成果:
- 组HY在注射后4,8,12,16和24小时显示疼痛得分明显较低 (p < 0.001).
- 在HY组的患者中,需要额外的止痛药的患者较少 (4.7%与15.9%相比),并且第一次止痛要求的时间较长 (16.96±3.38小时与8.94±1.27小时相比).
- 组HY出现吐 (p = 0.002) 和 (p < 0.001) 的比率较高,但尿,动力障碍,呼吸抑制,头或新生儿养没有显著差异.
结论:
- 排外注射水利摩尔 (0.5毫克) 是一种有效的止痛药,用于产后表皮切割术疼痛.
- 减轻疼痛的好处超过了恶心,吐和等轻微副作用的发生率增加.
- 这种干预措施不会对新生儿的养产生不利影响,也不会导致严重的神经或呼吸道并发症.
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