最好的证据总结关于经手术期间疼痛管理的患者与乳腺穴
Yi Liang1, Huajian Peng1, Xinxin Huang1
1Department of Thoracic and Cardiovascular Surgery, The First Affiliated Hospital of Guangxi Medical University, Nanning, China.
Pain research & management
|September 8, 2025
概括
有效的术后疼痛管理对于接受Nuss手术的患者至关重要. 本研究综合了证据,以指导临床团队和患者,改善康复和满意度.
科学领域:
- 心胸外科手术 心胸外科手术
- 疼痛管理 疼痛管理
- 基于证据的医学基于证据的医学.
背景情况:
- 胸部挖掘 (pectus excavatum) 是一种先天性胸壁形,导致心肺问题和痛苦.
- 纳斯手术是标准的,但与严重的术后疼痛有关.
- 最佳的术后疼痛管理是恢复和患者结果的关键.
研究的目的:
- 综合了关于术后疼痛管理的证据,用于 pectus excavatum.
- 为临床医生和患者提供基于证据的方法.
- 为了提高Nuss手术后的康复和患者满意度.
主要方法:
- 使用"6S"金字塔模型进行系统的文献搜索 (2014-2024年).
- 使用AGREE II和JBI工具进行质量评估.
- 提取和总结证据,重点关注高质量和最近的出版物.
主要成果:
- 分析了39篇文章:6个指导方针,6个专家共识,7个系统审查,1个临床决定,11个RCT,8个队列研究.
- 总结了35个跨越7个维度的证据:一般原则,教育,评估,预防性,手术内,术后和出院后的疼痛管理.
- 关于胸部挖掘部疼痛管理的综合证据综合.
结论:
- 这项研究提供了最好的证据,用于术后疼痛管理在pectus excavatum.
- 提供一种科学方法来改善患者的康复和满意度.
- 旨在支持临床团队提供有效的疼痛缓解.
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
9.8K
05:39Author Spotlight: A Non-Intubated Video-Assisted Thoracoscopic Surgery with Multimodal Analgesia and Sevoflurane Inhalation Anesthesia
Published on: May 26, 2023
2.2K
相关概念视频
01:23Peripheral Artery Disease V: Postoperative Nursing Management
379
During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
379
01:28Cardiomyopathy VII: Pre and Post Operative Nursing Management
290
Patients with hypertrophic cardiomyopathy (HCM) and left ventricular outflow tract (LVOT) obstruction who remain symptomatic despite optimal medical therapy may undergo a septal myectomy (Morrow procedure). This procedure involves excising a portion of the hypertrophied septum below the aortic valve using a heart-lung machine to improve blood flow through the LVOT. Effective preoperative and postoperative nursing management ensures successful patient outcomes, minimizes complications, and...
290
01:25Pericarditis IV: Nursing Management
324
Pericarditis, an inflammation of the pericardium, necessitates diligent nursing management to ensure effective patient care and recovery. The initial step in managing pericarditis is a comprehensive patient medical assessment.The patient reports chest pain aggravated by breathing, coughing, and swallowing, which worsens when lying supine. The pain often improves when sitting up and leaning forward. Additional symptoms may include fever, malaise, and, in severe cases, signs of heart failure.
324
01:27Pneumothorax-II
928
Pneumothorax is a medical condition defined by the buildup of air in the pleural space between the lungs and the chest wall. This accumulation of air can lead to partial or complete lung collapse, resulting in a range of clinical manifestations. Understanding the clinical presentation and effective management strategies is crucial for healthcare professionals in providing timely and appropriate care to individuals with pneumothorax.
Clinical Manifestations:
Clinical Manifestations:
928
01:26Flail Chest-II
543
Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
Assessment:
1. Clinical Evaluation:
History:
Assessment:
1. Clinical Evaluation:
History:
543