剖腹产后的慢性疼痛:我们今天知道什么? 一个叙事审查
A L Langenaeken1, P Lavand'homme1
1Department of Anesthesiology, Cliniques Universitaires St Luc - University Catholic of Louvain, Brussels, Belgium.
International journal of obstetric anesthesia
|March 15, 2025
概括
剖腹产后的慢性疼痛 (CD) 是一个令人担忧的问题,报告的发病率很低. 需要进一步的研究来了解其原因和预防,特别是关于严重的产后疼痛.
科学领域:
- 产科和妇科 产科和妇科
- 疼痛医学 医学 疼痛医学
- 外科手术的结果
背景情况:
- 剖腹产 (CD) 是一种常见的外科手术,对妇女的生活质量有潜在的长期影响.
- 慢性术后疼痛 (CPSP) 随着CD,虽然可变,但在6个月 (3-4%) 和之后 (0.6-0.8%) 报告的发病率很低.
- 由于手术数量和患者人口统计数据的高,CD后CPSP的社会影响值得关注.
研究的目的:
- 审查剖腹产后慢性术后疼痛 (CPSP) 的发生率,病理生理学和预防.
- 讨论当前CPSP定义 (ICD-11) 对分娩的适用性.
- 探索潜在的保护因素和急性产后疼痛在CPSP发展中的作用.
主要方法:
- 对剖腹产后慢性疼痛研究的文献综述.
- 对CPSP报告的发病率和风险因素的分析.
- 讨论CPSP预防策略的现有证据.
主要成果:
- 在CD之后的CPSP的发病率通常很低,随着时间的推移,发病率会下降.
- 在CD后的CPSP发生率似乎低于类似的妇科手术后.
- 严重的急性产后疼痛是CPSP的重要危险因素,但预防性止痛疗法显示出令人失望的结果.
结论:
- 关于CD后CPSP的发病率,病理生理学和预防,仍然存在许多问题.
- 潜在的保护因素,可能是荷尔蒙因素,可能会影响产后CPSP的发展.
- 进一步的研究对于解决剖腹产后CPSP的剩余不确定性至关重要.
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