胃肠道手术后的慢性术后疼痛 - 一个范围审查
Amalie Rosendahl1,2, Ida Marie Barsøe3, Veronica Ott4
1Department of Anaesthesiology, Herlev and Gentofte University Hospital, Copenhagen, Denmark.
Acta anaesthesiologica Scandinavica
|November 29, 2024
概括
胃肠道手术后的慢性术后疼痛 (CPSP) 是常见的,影响生活质量. 需要更多的研究来标准化定义,并为这种普遍的疾病制定有针对性的预防策略.
科学领域:
- 疼痛医学 医学 疼痛医学
- 外科手术的结果
- 证据综合 证据综合
背景情况:
- 慢性术后疼痛 (CPSP) 显著影响患者的生活质量和社会经济地位.
- CPSP的机制尚未完全理解,手术类型可能会影响其发展.
- 针对胃肠道手术后的CPSP的研究是有限的.
研究的目的:
- 在胃肠道手术后对CPSP的文献进行范围审查.
- 确定CPSP在现有研究中如何被调查.
- 突出现有的证据缺口在胃肠道手术后CPSP的研究.
主要方法:
- 范围审查遵循PRISMA-ScR指南和预先发布的协议.
- 在多个数据库中进行全面的文献搜索,包括Medline,Embase,CINAHL,Cochrane Central,Clinicaltrials.Gov和谷歌学者.
- 包含了经过胃肠道手术的成年患者的原始研究,经过术后≥30天的疼痛评估,涉及独立审查员的两阶段查和数据图表.
主要成果:
- 包括在2001-2024年间发表的53项研究,主要来自欧洲和亚洲.
- 报告的CPSP患病率从3.3%到46.1%不等,只有一半的研究提供了CPSP的明确定义.
- 术前疼痛和急性术后疼痛一直被认为是发展CPSP的重要风险因素.
结论:
- 胃肠道手术后的CPSP很普遍,并对生活质量产生负面影响.
- 需要标准化的定义和方法来提高CPSP研究的可比性和可靠性.
- 未来的研究应该集中在特定的外科手术程序上,以告知针对CPSP的定制预防和治疗策略.
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