对手术后初始阶段疼痛评估方法的比较分析,这些方法是在不同的柱状囊手术后进行的
Edvinas Dainius1, Julija Garnyte2, Egle Juskeviciute2
1Department of Surgery, Lithuanian University of Health Sciences, LT-50161 Kaunas, Lithuania.
Medicina (Kaunas, Lithuania)
|October 26, 2024
概括
柱状手术后的疼痛强度在方法之间有所不同. 虽然视觉模拟尺度 (VAS) 显示没有差异,但压力算法表明,与术后第一天的彻底切除相比,微创性挖坑手术的疼痛更大.
科学领域:
- 外科手术的结果
- 疼痛管理 疼痛管理
- 医疗器械技术 医疗器械技术
背景情况:
- 皮隆性病显著影响患者的生活质量.
- 对于pilonidal囊的手术干预在范围和侵入性方面有所不同.
- 准确的疼痛评估对于评估手术结果和患者康复至关重要.
研究的目的:
- 为了比较不同程度的pilonidal疾病手术后的疼痛强度.
- 评估压力算法和视觉模拟尺度 (VAS) 在评估术后疼痛中的实用性.
- 探索压力算法和VAS疼痛测量之间的相关性.
主要方法:
- 招募了78名患有症状pilonidal囊的成年患者.
- 患者被分为两组:坑手术 (n=39) 和彻底切除 (n=39).
- 在手术前和手术后第一天使用VAS和压力算法来评估疼痛.
主要成果:
- 在挖坑和激进切除组之间,VAS疼痛得分没有显著差异.
- 压力算法测量显示,在术后第一天,坑组的疼痛耐受性显著降低.
- 在VAS和压力算法测量之间没有发现统计学意义上的相关性.
结论:
- 在早期的术后期,VAS疼痛评估没有区分手术组之间的疼痛水平.
- 压力算法表明,在最小侵入性挖坑手术队列中,疼痛感知更高.
- 建议对更大的队列进行进一步研究,以比较患者移动期间的疼痛评估方法.
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