腹部压力疼痛值与术后疼痛强度相关
Erfan Ghanad1,2, Christel Weiss3, Niki Taebi1
1Department of Surgery, University Medical Centre Mannheim, Medical Faculty Mannheim, University of Heidelberg, Mannheim, Germany.
腹部外科手术后的疼痛水平与机械疼痛敏感性相关. 感官疼痛测试在临床上有价值,用于评估术后疼痛,表明局部敏感性有助于患者的不适.
科学领域:
- 腹部外科 腹部外科
- 疼痛管理 疼痛管理
- 外科手术的结果
背景情况:
- 手术后的疼痛是减肥手术后的一个重要问题.
- 了解主观疼痛和客观疼痛值之间的关系对于有效的疼痛管理至关重要.
研究的目的:
- 为了研究持续疼痛水平和低体重手术后通过算法测量的机械疼痛值之间的相关性.
- 评估术后期感觉疼痛测试的临床效用.
主要方法:
- 对150名减肥手术患者 (120名RYGB,30名袖子胃切除术) 的回顾性分析.
- 使用视觉模拟尺度 (VAS) 和腹部算法来评估术后疼痛.
- 算法测量了机械疼痛值在敏感的腹部压力点.
主要成果:
- 患者报告了中度的手术后疼痛 (VAS平均值5.7).
- 在VAS疼痛得分和算法疼痛值之间发现了轻微的负相关性 (斯皮尔曼的rho = -0.35,p < 0.0001).
- 根据性别或手术类型 (RYGB与袖子胃切除术) 没有观察到疼痛或值的显著差异.
结论:
- 减少机械疼痛值和更高的持续疼痛水平之间存在轻微的相关性.
- 感官疼痛测试 (合计) 是临床上有价值的评估术后疼痛.
- 局部机械敏感性似乎有助于减肥手术后持续的疼痛.
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