通过皮肤进行的电神经刺激对疼痛,呼吸功能和胸切除术后止痛药的作用:一项前性随机研究
Tolga Semerkant1,2, Ferdane Melike Duran1,2, Hidir Esme1,2
1Department of Thoracic Surgery, University of Health Sciences, Konya City Hospital, 135/1, Adana Ring Road, Akabe, Karatay, Konya, Turkey.
Indian journal of thoracic and cardiovascular surgery
|December 16, 2024
概括
通过皮肤进行电神经刺激 (TENS) 有效地减少胸切除术后的疼痛和阿片类药物的使用. 这种方法还可以降低与阿片类药物相关的副作用,并防止呼吸道并发症,如分泌物保留.
科学领域:
- 疼痛管理 疼痛管理
- 胸部外科手术 胸部外科手术
- 神经调节是一种神经调节.
背景情况:
- 胸切除术后的疼痛是一个重大的临床挑战.
- 类阿片类止痛药是常用的,但与不良影响有关.
- 寻求非药理方法来改善疼痛控制和减少阿片类药物依赖.
研究的目的:
- 评估通过皮肤电神经刺激 (TENS) 治疗胸切除术后疼痛的疗效.
- 评估TENS对阿片类药物消费和相关副作用的影响.
- 研究TENS对术后呼吸道和心脏并发症的影响.
主要方法:
- 一项随机对照研究,涉及40名接受肌肉节约胸切除术的患者.
- 患者被分为两组:TENS (T组,n=20) 和对照组 (C组,n=20).
- 疼痛评分,补充止痛的需求,阿片类药物副作用和并发症都在术后进行监测.
主要成果:
- 在TENS组,疼痛得分始终较低.
- 在TENS组中,需要显著减少24小时,48小时和72小时的补充止痛剂.
- 在TENS组中观察到与阿片类药物相关的副作用 (便秘,恶心,吐) 和分泌保留率较低.
结论:
- 通过皮肤进行的电神经刺激是胸切除术后疼痛管理的有效方法.
- TENS减少了对阿片类止痛药的需求,从而最大限度地减少了相关的副作用.
- TENS的应用有助于防止分泌物保留,这是一个常见的术后并发症.
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