患有慢性疼痛的患者进行骨盆重建手术后的手术恢复
Adrienne J Werth1, Victoria Abalyan1, Elena Tunitsky-Bitton1
1From the Department of Urogynecology.
Urogynecology (Philadelphia, Pa.)
|November 8, 2024
概括
经历骨盆重建手术的慢性疼痛患者也有类似的恢复,但需要更多的阿片类药物. 他们还需要更多的休息时间,并在手术后体验到更大的残疾.
科学领域:
- 泌尿和妇科 泌尿和妇科
- 骨盆重建手术 骨盆重建手术
- 疼痛管理 疼痛管理
背景情况:
- 有限的数据存在于经历骨盆重建手术的慢性疼痛患者的术后恢复.
- 慢性疼痛可能会影响手术恢复和患者报告的结果.
研究的目的:
- 为了评估在骨盆重建手术后自我报告的慢性疼痛和没有慢性疼痛的患者之间手术后恢复的差异.
- 为了比较手术结果,止痛药的使用和功能恢复.
主要方法:
- 对90名接受骨盆器官脱落手术 (阴道或腹腔镜) 的患者进行前性队列研究.
- 使用简要疼痛清单 (BPI) 和Pepper残疾评估工具 (PAT-D) 评估手术前的疼痛和残疾.
- 术后康复评估使用出院后外科康复 (PSR) 尺度,全球外科康复指数 (GSR) 和2,4和12周的PAT-D.
主要成果:
- 患有慢性疼痛的患者 (n=43) 报告了更高的手术前疼痛和残疾.
- 在任何时间点,术后结果,住院时间或PSR/GSR得分都没有显著差异.
- 慢性疼痛患者使用了更多的术后阿片类药物,并在12周后获得了更高的PAT-D得分,更少的人重返工作位.
结论:
- 对于患有和没有慢性疼痛的患者来说,关于手术结果的骨盆重建手术恢复是相似的.
- 慢性疼痛患者需要更多的术后阿片类止痛药,并在12周后报告更大的残疾.
- 在手术后的慢性疼痛患者中,返回工作和休息时间对工作有负面影响.
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