日间手术后急性疼痛的预测因素:一个元分析
Hanqing Zhang1,2, Xinglian Gao1
1Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, People's Republic of China.
Journal of pain research
|October 14, 2025
概括
确定了白天手术患者急性术后疼痛的关键预测因素. 诸如足够的止痛药,年龄较小,开放式手术,教育程度较低和手术前焦虑等因素显著影响疼痛,指导更好的疼痛管理策略.
科学领域:
- 疼痛管理 疼痛管理
- 术后恢复 术后恢复
- 基于证据的医学基于证据的医学.
背景情况:
- 日间手术越来越常见,需要有效的急性术后疼痛管理,以获得最佳的患者康复.
- 现有的研究已经探索了影响术后疼痛的各种因素,但需要明确对主要预测因子的综合.
研究的目的:
- 确定日间手术患者急性术后疼痛的关键预测因子.
- 为优化疼痛管理和提高恢复效率提供基于证据的建议.
主要方法:
- 进行了临床研究的系统审查和元分析.
- 在多个数据库中进行了全面的文献搜索,截至2025年1月30日.
- 用固定效应模型分析数据,用于显著异质性的随机效应模型.
主要成果:
- 这项分析包括了10项涉及11,865名患者的研究.
- 确定的显著预测因素包括:不充分使用止痛药 (OR=2.12),年龄较小 (<45岁,OR=2.88),开放式手术 (OR=5.05),低学历 (≤中学,OR=2.06),手术前的恐惧/焦虑 (OR=2.18),更高的疼痛预期 (OR=1.74),和全身麻醉 (OR=1.91).
结论:
- 确定了白天手术中急性术后疼痛的关键预测因素,包括患者相关因素和治疗特征.
- 将这些预测因素纳入临床评估可以优化疼痛管理和改善患者康复.
- 针对这些风险因素的术前管理可以显著减少术后疼痛并提高康复结果.
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