儿科肝移植后的慢性疼痛:一个单中心前性观察性研究
Kaoru Tsuboi1, Hajime Uchida2, Norihiko Tsuboi1
1Department of Critical Care and Anesthesia, National Center for Child Health and Development, Tokyo, Japan.
Pediatric transplantation
|July 1, 2025
概括
慢性术后疼痛 (CPSP) 在儿科肝移植接受者中不常见,影响5.0%的患者. 女性性别是与发展CPSP相关的唯一因素,突出了长期监测的必要性.
科学领域:
- 儿科手术 儿科手术
- 移植医学 移植医学
- 疼痛管理 疼痛管理
背景情况:
- 慢性手术后疼痛 (CPSP) 影响了约20%的手术后儿童,影响了他们的生活质量.
- 关于儿科肝移植患者中CPSP患病率的数据有限.
研究的目的:
- 为了确定儿科肝移植接受者中CPSP的患病率.
- 在这个人群中确定与CPSP相关的因素.
主要方法:
- 一组242名儿科肝移植接受者 (年龄>6岁,移植后>3个月) 填写了关于疼痛的问卷.
- CPSP被定义为手术后3个月以上的疼痛,视觉模拟尺度 (VAS) ≥3.3.
- 使用多变量分析来确定相关因素.
主要成果:
- CPSP的患病率为5.0% (12/242名患者).
- 女性性别是唯一独立与CPSP相关的因素 (OR=2.91).
- 两名患者报告说日常活动受到干扰;CPSP患者的疼痛强度 (VAS) 为4.4.
结论:
- 在儿科肝移植接受者中,CPSP的患病率较低,但报告不足可能.
- 一些患者在移植后多年经历持续性疼痛,需要长期的随访.
- 识别有风险的个体,如女性,对于有针对性的干预至关重要.
更多相关视频
13:57Laparoscopic Anatomical Liver Segment VII Resection with Liver Parenchymal Transection Following a Priority Approach
Published on: May 23, 2025
454
07:14A Quantitative Sensory Testing Paradigm to Obtain Measures of Pain Processing in Patients Undergoing Breast Cancer Surgery
Published on: January 18, 2018
9.4K
相关概念视频
01:29Chronic Pancreatitis II: Collaborative Care
131
The management of chronic pancreatitis is multifaceted, involving a comprehensive approach that includes thorough assessment, diagnostic testing, and a variety of management strategies.
Assessment:
Assessment:
131
01:24Chronic Pancreatitis I: Introduction
168
The pancreas, an elongated and flat gland situated behind the stomach, serves a vital function in digesting food and managing blood sugar levels.
Pancreatitis is the inflammation of the pancreas, which occurs when the immune system becomes active and causes swelling, pain, and disruptions in organ function. Pancreatitis can manifest as either an acute or chronic condition.
Acute pancreatitis arises suddenly and lasts for a brief duration, while chronic pancreatitis is a long-term affliction...
Pancreatitis is the inflammation of the pancreas, which occurs when the immune system becomes active and causes swelling, pain, and disruptions in organ function. Pancreatitis can manifest as either an acute or chronic condition.
Acute pancreatitis arises suddenly and lasts for a brief duration, while chronic pancreatitis is a long-term affliction...
168