未来的队列研究 eDiary急性疼痛评估在状细胞疾病在第三个三个月和产后
Eugenia Vicky Asare1, William Kwesi Ghunney1, John Benaiah Ayete-Nyampong2
1Ghana Institute of Clinical Genetics/ Korle-Bu Teaching Hospital, Ghana.
Blood advances
|July 1, 2025
概括
患有状细胞疾病 (SCD) 的孕妇在怀孕期间比分娩后经历的急性疼痛事件要多得多. 每日eDiary数据显示,怀孕期间SCD疼痛的发病率高出1.85倍.
科学领域:
- 产科和妇科 产科和妇科
- 血液学 血液学 血液学
- 公共卫生 公共卫生
背景情况:
- 患有状细胞疾病 (SCD) 的孕妇面临患病和死亡的风险增加.
- 众所周知,SCD中急性血管闭塞性疼痛事件在怀孕期间增加,特别是在第三个三个月和产后期.
- 家庭管理的疼痛事件往往被低估,需要对日常自我报告的疼痛进行研究.
研究的目的:
- 为了比较怀孕期间与产后期间患有SCD的孕妇自我报告的急性血管闭合性疼痛事件的发生率.
- 为了测试一种假设,即急性SCD疼痛在怀孕期间 (第三季度到产后) 比分娩后更频繁.
主要方法:
- 展望研究涉及加纳33名患有SCD的孕妇使用eDiary移动应用程序进行日常自我报告.
- 收集了从怀孕第三个月到产后九个月的急性SCD疼痛事件的数据.
- 分析怀孕和产后期间自我报告的疼痛发病率.
主要成果:
- 与产后期相比,怀孕期间观察到自我报告的急性SCD疼痛事件的发生率高出1.85倍 (0.74对0.40事件/人/月).
- 怀孕和产后疼痛发病率的差异在统计学上是显著的 (p<0.001).
- 33名参与者完成了71.5%的预期电子日记条目.
结论:
- 怀孕中患有SCD的孕妇在怀孕期间经历的急性疼痛事件的频率要高得多,特别是在妊娠的第三季度和产后期.
- 通过电子日记每日自我报告捕捉了家庭管理疼痛的关键数据,突出了怀孕期间增加的发病率.
- 研究结果强调,需要加强在怀孕期间SCD疼痛的管理策略.
更多相关视频
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
06:04Objective Nociceptive Assessment in Ventilated ICU Patients: A Feasibility Study Using Pupillometry and the Nociceptive Flexion Reflex
Published on: July 4, 2018
9.0K
相关概念视频
01:30Acute Kidney Injury IV: Diagnostic Studies and Prevention
59
Accurate diagnosis and effective prevention are critical in managing Acute Kidney Injury (AKI), which is linked to high mortality rates ranging from 10% to 80%. Timely recognition of at-risk patients and careful monitoring can significantly reduce the likelihood of kidney damage.Diagnostic Assessments:The diagnostic process starts with a comprehensive medical history to identify prerenal, intrarenal, and postrenal causes.Prerenal causes, such as dehydration, hypotension, or blood loss, should...
59
01:30Acute Coronary Syndrome III: Diagnostic Studies
26
Diagnosing acute coronary syndrome or ACS begins with a thorough patient history. Notable symptoms include central, crushing chest pain radiating to the left arm, neck, jaw, or back, along with shortness of breath, sweating (diaphoresis), nausea, vomiting, dizziness, and palpitations.It is crucial to note any history of cardiac illnesses and assess risk factors, including age, gender, smoking, hypertension, diabetes, hyperlipidemia, and a sedentary lifestyle.During physical examination, vital...
26
01:29Appendicitis-II: Diagnostic Studies and Management
150
Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
150