视频辅助胸腔镜手术后早期持续性疼痛的发生率:单中心前性队列研究
Louisa N Spaans1,2,3, Lois Vriens1, Rudi M H Roumen1
1Department of Surgery, Maxima Medical Center, Eindhoven, The Netherlands.
Journal of thoracic disease
|November 18, 2024
概括
早期持久性疼痛 (EPP) 影响了视频辅助胸腔镜手术 (VATS) 后16.2%的患者. 急性术后疼痛是主要的危险因素,突出了优化疼痛管理策略的必要性.
科学领域:
- 胸部外科手术 胸部外科手术
- 疼痛管理 疼痛管理
- 术后护理 术后护理
背景情况:
- 视频辅助胸腔镜手术 (VATS) 有好处,但可能导致术后急性疼痛和神经损伤.
- 这些问题有助于早期持续性和慢性疼痛,影响患者的康复.
- 在VATS之后,早期持久性疼痛 (EPP) 的发生率尚不清楚.
研究的目的:
- 为了确定EPP在VATS之后的发病率.
- 为了确定与EPP相关的风险因素.
- 改善患者护理和临床医生对EPP的认识.
主要方法:
- 连续接受VATS的患者的前性队列研究 (2021年1月 - 2023年3月).
- 主要结局:手术后3-4周内EPP的发生率.
- 二次结果:风险因素,体检结果,疼痛评分,止痛药的使用和并发症.
主要成果:
- 在16.2%的患者中发生了EPP.
- 急性术后疼痛是EPF的唯一显著风险因素.
- 患有EPP的患者经历了更高的急性疼痛评分和增加的阿片类药物使用.
结论:
- 在16.2%的VATS患者中,EPP是一个重要的关注点.
- 有效管理急性术后疼痛对于预防EPF至关重要.
- 加强临床医生的意识和疼痛管理策略是必不可少的.
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