关于术后骨科疼痛的注册数据的多中心分析:一个回顾性队列研究
Bram Thiel1, Marc B Godfried2, Seppe J H A Koopman3
1Department of Anesthesiology, OLVG Hospital, Amsterdam, the Netherlands. b.thiel@OLVG.nl.
BMC anesthesiology
|July 5, 2025
概括
在手腕,肩膀和腰椎的骨科手术会导致最严重的术后疼痛. 识别这些高疼痛的骨科手术对于改善患者康复和有效管理疼痛至关重要.
科学领域:
- 整形外科手术 整形外科手术
- 疼痛管理 疼痛管理
- 患者的治疗结果.
背景情况:
- 手术后的疼痛是骨科手术的一个重要问题,导致并发症和成本增加.
- 骨科手术后的严重疼痛可能会延长住院时间,并对患者的康复产生负面影响.
研究的目的:
- 为了确定与住院患者严重的术后疼痛相关的特定的骨科手术程序.
- 根据手术后72小时内经历的疼痛强度对骨科干预进行排名.
主要方法:
- 从9,918名接受住院骨科手术的患者的疼痛评分的回顾性分析.
- 收集的数据包括患者详细信息,手术程序 (根据国际卫生干预分类进行分类),以及术后72小时的最大疼痛得分.
- 程序根据中位数数值疼痛得分排名,以确定疼痛水平.
主要成果:
- 在涉及开放式缩小和器件植入部的手术中观察到最高的中位疼痛得分 (中位 6,IQR 4-7).
- 其他高疼痛的手术包括开放的肩膀关节手术,脚手术和腰椎融合.
- 整体中位疼痛分数从24小时内4个下降到手术后48-72小时内3个.
结论:
- 涉及手腕,肩膀和腰椎的手术程序与最严重的术后疼痛有关.
- 需要进一步的研究来整合止痛药的数据,并为这些特定的骨科手术制定有效的疼痛管理策略.
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