与手术后疼痛体验不佳相关的因素
Axel Maurice-Szamburski1, Romain Rozier2, Victor Gridel3
1Department of Anaesthesiology and Intensive Care Medicine, University Hospital Centre Nice Pasteur Hospital, Nice, Provence-Alpes-Côte d'Azur, France amszamburski@gmail.com.
Regional anesthesia and pain medicine
|February 25, 2025
概括
在外科手术中使用雷米芬坦尼尔和苏芬坦尼尔显著预测了 postoperative 疼痛. 重新评估麻醉策略对于改善患者结果和减少并发症至关重要.
科学领域:
- 麻醉学 麻醉学
- 疼痛管理 疼痛管理
- 外科手术的结果
背景情况:
- 术后疼痛显著影响患者的康复和满意度.
- 识别不良疼痛经验的预测因素对于优化护理至关重要.
研究的目的:
- 为了确定与不良的术后疼痛经验相关的患者相关和程序因素.
- 分析手术内麻醉剂对疼痛结果的影响.
主要方法:
- 对971名接受选择性手术的成年患者的二次分析.
- 评估手术前焦虑 (APAIS) 和疼痛,睡眠,幸福感 (VAS).
- 主要终点:手术后1天的患者体验 (EVAN-G);低疼痛定义为<25百分点.
主要成果:
- 27.9%的患者报告疼痛经历不佳.
- 在手术期间使用雷米芬坦尼尔/苏芬坦尼尔是一个强有力的预测因素 (OR 26.96).
- 与较低的疼痛相关的因素:年龄,前期治疗,骨科手术. 较低疼痛的预测因素:ASA 3状态,术后抗焦虑药,记忆丧失,较高的VAS疼痛,较低的福祉.
结论:
- 术后的雷米芬坦尼尔和苏芬坦尼尔独立地与更严重的术后疼痛有关.
- 研究结果表明,需要重新评估手术内止痛策略.
- 优化麻醉方案可以改善患者的治疗结果,减少并发症.
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