在诊所访问和手术当天之间,自我报告的手术前疼痛的变化
David E Komatsu1, Sunitha M Singh2, Susannah Oster2
1Orthopaedics and Rehabilitation, Stony Brook University, Stony Brook, USA.
Cureus
|September 22, 2025
概括
患者的疼痛评分在诊所访问期间明显高于手术当天 (DOS). 术前疼痛评估的这种变化凸显了对准确报告的标准化时间和设置的需求.
科学领域:
- 整形外科 整形外科 整形外科
- 疼痛管理 疼痛管理
- 临床研究 临床研究
背景情况:
- 术前疼痛评估对于基准测试和临床参数比较至关重要.
- 疼痛评分的变化可能会影响研究结果和患者管理.
- 标准化定义和基线疼痛的最小变化是必要的.
研究的目的:
- 为了确定患者在手术当天 (DOS) 报告的疼痛评分的变化,与手术前的诊所访问相比.
- 确定疼痛报告中研究间变化的潜在来源.
- 强调确定手术前疼痛评估的时间和设置的重要性.
主要方法:
- 对1567名接受了全膝关节整形 (TKA),全关节整形 (THA) 和脊柱融合 (SF) 的患者进行了回顾性分析.
- 自我报告的0-10数值评分表 (NRS) 疼痛分数在诊所访问和DOS之间进行比较.
- 按程序,性别和诊所访问时间分层的二次分析;关于疼痛评估时间的定性文献综述.
主要成果:
- 与DOS相比,患者在诊所访问期间报告的疼痛明显增加 (中位数差异为3,p < 0.0001).
- 这种差异在TKA,THA和SF程序中是一致的,不受性别的影响.
- 疼痛评分差异在手术后90天内在诊所访问中持续存在;文献审查发现时间很少被报道.
结论:
- 患者报告的疼痛在诊所访问和手术当天之间有显著差异.
- 这种变化是疼痛研究中研究间差异的潜在来源.
- 标准化术前疼痛评估的时间和设置对于准确的临床研究至关重要.
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