用衣草进行吸入芳香疗法治疗术后疼痛:对随机对照试验的系统审查
Yufang Ren1, Yuyun Xiang2, Zhi Li1
1Department of Cardiovascular Surgery, West China Hospital, Sichuan University/West China School of Nursing, Sichuan University, Chengdu, Sichuan, China.
概括
吸入衣草芳香疗法有效地减少了成年人手术后的疼痛. 然而,它对降低止痛药消费的影响需要通过高质量的试验进一步调查.
科学领域:
- 疼痛管理 疼痛管理
- 补充和替代医学 补充和替代医学
- 麻醉学 麻醉学
背景情况:
- 衣草精油通常用于缓解疼痛.
- 吸入衣草芳香疗法对术后疼痛的疗效尚未得到充分证实.
研究的目的:
- 系统地审查吸入衣草芳香疗法对术后疼痛缓解的影响.
- 评估衣草芳香疗法对成人手术患者止痛药消费的影响.
主要方法:
- 进行了随机对照试验的系统审查.
- 在主要数据库中进行了搜索,直到2023年10月.
- 疼痛评分和止痛药消费分别是主要和次要结局.
主要成果:
- 15项研究,大多是在2015年之后发表的,符合纳入标准.
- 衣草芳香疗法显著降低了术后疼痛评分.
- 关于减少止痛药消费的结果是混合的,有三项研究显示有好处,有三项研究显示没有效果.
结论:
- 吸入衣草芳香疗法在减少成人术后疼痛方面具有显著的益处.
- 目前的证据不足以证实止痛药消耗的减少.
- 需要进一步进行高质量的随机临床试验来巩固这些发现.
相关概念视频
Inhalational Anesthetics: Overview
148
Inhalation anesthetics are drugs that induce general anesthesia upon inhalation. They work by increasing the sensitivity of GABAA receptors or inhibiting NMDA receptors, leading to a decrease in central nervous system activity. The depth of anesthesia can be rapidly adjusted by changing the concentration of the inhaled gas. Some common examples of inhalational anesthetics include volatile liquids like isoflurane, desflurane, sevoflurane and gases like xenon and nitrous oxide. Isoflurane, a...
148
Analgesia and Pain Management
403
Pain is critical to various clinical pathologies, provoking an urgent need for effective management. Pain, whether acute or chronic, is a complex neurochemical process. Its alleviation depends on the type, with nonopioid analgesics effective for mild to moderate pain, such as musculoskeletal or inflammatory pain, while neuropathic pain responds best to anticonvulsants, tricyclic antidepressants, or serotonin/norepinephrine reuptake inhibitors. For severe acute or chronic pain, opioids may be...
403
General Anesthesia: Overview
170
Anesthesia is a medical procedure that uses drugs for CNS suppression to enable painless surgeries and procedures. The selection of anesthetics is influenced by their pharmacokinetic properties, side effects, and patient characteristics. Various types of anesthesia include general, local, regional, spinal, and inhalational.
General anesthesia induces unconsciousness in the whole body, while the others target specific areas or sensations. It is administered to minimize adverse effects, maintain...
General anesthesia induces unconsciousness in the whole body, while the others target specific areas or sensations. It is administered to minimize adverse effects, maintain...
170
Local Anesthetics: Clinical Application as Epidural Anesthesia
400
Epidural anesthetics are administered in the fat-filled epidural space, the outermost part of the spinal canal. This technique is commonly employed for pain management and anesthesia during lower abdomen and pelvis surgeries or labor and delivery.
Since epidural anesthetics can be infused through an epidural catheter, all types of drugs, including short-acting ones, can be administered. Chloroprocaine and lidocaine are examples of short and long-duration anesthetics, respectively. Bupivacaine...
Since epidural anesthetics can be infused through an epidural catheter, all types of drugs, including short-acting ones, can be administered. Chloroprocaine and lidocaine are examples of short and long-duration anesthetics, respectively. Bupivacaine...
400
Local Anesthetics: Clinical Application as Spinal Anesthesia
561
Spinal anesthetics are given during lower abdomen and limb surgeries to block sensory and motor neurons. They are administered in the mid to low lumbar regions, primarily acting on the cauda equina's nerve roots. The blockade level depends on the local anesthetic (LA) concentration. Usually, low LA concentrations are sufficient to block sensory fibers, while only high LA concentrations block motor fibers. Other factors like injection volume and speed, the patient's posture, and the drug...
561
Local Anesthetics: Common Agents and Their Applications
383
Local anesthetics (LAs) are commonly used for various applications in medical and dental procedures. Some of the common agents used are cocaine, lidocaine, and bupivacaine.
Cocaine is an ester of benzoic acid and methylecgogine. It is used to anesthetize and vasoconstrict locally. Currently, it is used primarily for topical applications. It is beneficial for surgeries on the upper respiratory tract, providing anesthesia and shrinking the mucosa. Cocaine in the form of cocaine hydrochloride is...
Cocaine is an ester of benzoic acid and methylecgogine. It is used to anesthetize and vasoconstrict locally. Currently, it is used primarily for topical applications. It is beneficial for surgeries on the upper respiratory tract, providing anesthesia and shrinking the mucosa. Cocaine in the form of cocaine hydrochloride is...
383


