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在接受妇科腹腔镜手术的患者中预测术后腹部膨胀:一个横截面研究

Ying Li¹, Yan-Qing Zhu¹, Yun-Wen Tao²

¹Department of Obstetrics and Gynecology, The Second Affiliated Hospital of Soochow University, Suzhou, Jiangsu Province, China.

International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics

|August 8, 2025

概括

在妇科腹腔镜手术后的术后腹部张张与更高的疼痛分数有关. 整合疼痛数值评分表 (NRS) 评分可以改善这种常见并发症的预测模型.

科学领域:

妇科外科手术妇科外科
手术并发症手术并发症
疼痛管理疼痛管理

背景情况:

腹部膨胀是妇科腹腔镜手术后经常出现的并发症.
目前的风险预测依赖于个性化因素,经常忽视疼痛评估.
了解预测因素对于管理术后结果至关重要.

研究的目的:

为了评估疼痛的预测值,数字评分表 (NRS) 对早期腹部膨胀的得分进行了评估.
为了确定疼痛NRS得分,单独或与其他因素相结合,改善风险预测.
为了研究疼痛NRS和腹部张张后妇科腹腔镜之间的关联.

主要方法:

研究了一组961名接受妇科腹腔镜手术的患者.
疼痛NRS得分在患有和没有术后腹部张张的患者之间进行了比较.
多变量逻辑回归分析了疼痛NRS和腹部张张风险之间的关联.

主要成果:

经历腹部张张的患者报告了明显更高的疼痛NRS得分.
疼痛NRS得分独立预测腹部张张风险 (OR 8.75).
将疼痛NRS纳入模型改善了预测准确性 (AUC 0.772对 0.725).

结论:

疼痛NRS评分是术后腹部张张的重要,独立的预测指标.
在预测模型中利用疼痛NRS得分可以提高这种并发症的准确性.
疼痛评估为接受妇科腹腔镜手术的患者管理提供了宝贵的工具.

关键词:

腹部张是指腹部张.妇科外科手术妇科手术腹腔镜外科手术腹腔镜外科手术预测预测预测预测有关风险因素的风险因素.

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