腹膜呼吸治疗全腹腔镜切除术后的转移性疼痛:一项随机临床试验
Antonio Luis Partida-Márquez1,2, Juan Carlos Fernández-Domínguez3,4, José Antonio Martínez-Fernández5,6
1Red Cross University Nursing Centre, University of Seville, Seville, Spain.
Surgical endoscopy
|August 18, 2025
概括
与部练习相比,腹膜呼吸练习在全腹腔镜切除术 (TLH) 后提供了转移性疼痛和部残疾的更快恢复. 这种简单的干预可以帮助手术后的疼痛管理.
科学领域:
- 妇科 妇科医生 妇科
- 疼痛管理 疼痛管理
- 术后恢复 术后恢复
背景情况:
- 转介性宫骨头疼痛是拉巴镜术后的一个常见的术后并发症.
- 这种疼痛不同于切口疼痛,需要不同的管理策略.
研究的目的:
- 为了比较隔膜呼吸练习 (DBG) 与部炼组 (NEG) 在全腹腔镜切除术 (TLH) 后治疗 referred 疼痛的疗效.
主要方法:
- 一项随机对照试验涉及女性,她们在TLH后出现了严重的转移性疼痛.
- 参与者被分配到DBG或NEG,每天执行三次运动,持续4周.
- 评估了疼痛强度,位置和功能障碍 (头部,部,肩膀,上肢).
主要成果:
- 这两组在4周内都显著改善了疼痛和残疾 (p < 0.001).
- 与NEG相比,DBG显示疼痛强度,部残疾 (NDI) 和头部残疾 (HIT-6) 的减少速度更快 (p < 0.001).
- 在上肢残疾 (QuickDASH) 中没有观察到群体之间的显著差异 (p > 0.05).
结论:
- 转介性TLH后疼痛通常是自我限制的,但可以加速.
- 隔膜呼吸练习提供了一个更快,更安全,更简单的补充方法来减少TLH后的疼痛和椎残疾.
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