在腹部手术患者的术后运动引起的疼痛轨迹:一项回顾性研究
Zihao Xue1, Jingying Huang1, Minjun Liu1
1Nursing Department, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou, China.
概括
大型腹部手术后的运动引起的疼痛 (MEP) 可以分为没有,轻度或中度至严重的轨迹. 在手术和康复期间的阿片类药物消费显著影响了这些疼痛模式.
科学领域:
- 麻醉学 麻醉学
- 疼痛管理 疼痛管理
- 术后恢复 术后恢复
背景情况:
- 了解早期的术后运动引起的疼痛 (MEP) 轨迹对于重大腹部手术后有效的疼痛管理至关重要.
- 确定影响MEP的因素对于优化患者护理和康复至关重要.
研究的目的:
- 在接受重大腹部手术的患者中描述早期的术后MEP轨迹.
- 探索影响这些MEP轨迹的因素.
主要方法:
- 对268名接受重大腹部手术的患者进行了回顾性分析.
- 在四个时间点对MEP的评估:麻醉后护理单位 (PACU) 和术后的1,2,3天.
- 纵向潜形状分析和顺序逻辑回归被用来确定疼痛轨迹和相关因素.
主要成果:
- 确定了三种不同的MEP轨迹:没有疼痛,轻度疼痛和中度至重度疼痛.
- 在操作期间的阿片类药物消费,在PACU中,以及患者控制的止痛疗法显著影响了MEP轨迹的成员资格.
结论:
- 早期的术后疼痛管理策略应侧重于优化阿片类药物使用.
- 周围和周围麻醉护士对于指导疼痛评估,治疗和护理过渡至关重要.
- 早期康复期的积极疼痛管理对于接受重大腹部手术的患者至关重要.
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