大脑瘤患者切术后的术后疼痛轨迹:强度和特征的横截面研究
Biljana Filipović1,2, Paško Berišić3, Snježana Čukljek1,2
1Department of Nursing, University of Applied Health Sciences, Mlinarska 38, 10000 Zagreb, Croatia.
Medicina (Kaunas, Lithuania)
|September 27, 2025
概括
在脑瘤患者的骨切除术后的疼痛在术后的第四天显著减少. 脉冲性疼痛最初很常见,但高疼痛强度在第4天很罕见,指导早期疼痛管理策略.
科学领域:
- 神经外科 神经外科
- 疼痛医学 医学 疼痛医学
- 在瘤学瘤学.
背景情况:
- 切术后的疼痛在脑瘤患者中很普遍.
- 早期的术后疼痛轨迹和定性特征没有得到很好的描述.
- 现有的研究往往包括混合的手术组,或专注于立即/长期疼痛.
研究的目的:
- 量化脑瘤骨切除术后的早期术后疼痛强度和时间.
- 描述手术后最初几天经历的疼痛的质量.
- 解决这个特定患者队列的短期疼痛管理的证据差距.
主要方法:
- 对100名成年患者进行截面研究,这些患者因脑瘤而接受了骨切除术.
- 疼痛强度 (0-10数值评分尺度) 和在术后 2-4 天评估的特征.
- 亚组分析,比较首次手术患者与先前手术患者.
主要成果:
- 疼痛强度 (NRS) 的中位数从POD2上的2.00降低到POD4.0上的0.00.
- 脉冲性疼痛是最常见的类型,约有46%的人报告POD2.
- 在POD4患者中,高疼痛强度是不常见的,患者子组之间没有显著差异.
结论:
- 描绘了早期疼痛轨迹和描述器,具体用于脑瘤骨切除术.
- 在最初的术后期支持个性化和务实的疼痛管理.
- 强调在未来的研究中需要多维疼痛结果测量.
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