患者对疼痛的感知与媒介化 胸腺整形手术 手术
Melissa Patry1, Elnaz Roohi1, Peter Rose2
1Division of Otolaryngology, Head and Neck Surgery, University of British Columbia, Vancouver, British Columbia, Canada.
The Laryngoscope
|October 27, 2025
概括
媒体化胸腺整形 (MT) 手术疼痛通常是轻微的,并且在术后耐受良好. 虽然一半的患者需要阿片类药物,但建议改善阿片类药物管理,以管理这种声功能程序后的疼痛.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 疼痛管理 疼痛管理
- 语音和声音科学 语音和声音科学
背景情况:
- 媒介化甲状腺整形 (MT) 治疗囊缺陷,通常在手术镇静下进行.
- 患者报告的结果,特别是疼痛感知,对于评估外科手术至关重要.
- 了解术后疼痛对于优化患者康复和满意度至关重要.
研究的目的:
- 为了前性地评估患者报告的疼痛感知,后传媒化胸膜整形 (MT).
- 评估在术后期对止痛药和阿片类药物使用的需要.
- 为了确定影响MT手术后疼痛水平的因素.
主要方法:
- 预期的观察性研究设计.
- 利用麦吉尔简短形式的疼痛问卷 (SF-MPQ) 和语音障碍指数-10 (VHI-10) 进行疼痛和语音评估.
- 收集的人口统计和临床数据,并进行非参数统计分析.
主要成果:
- 招募了53名患者,74%需要止痛药,52%在术后第一天使用阿片类药物.
- 疼痛评分 (SF-MPQ) 在术后第1天显著增加 (中位数3.0) 并在术后第7天下降 (中位数1.0).
- 从手术前 (26) 到手术后的第7天 (12) 观察到显著的声音改善 (VHI-10);没有与疼痛增加相关的因素.
结论:
- 媒介化胸腺整形 (MT) 疼痛通常是温和的,尽管程序镇静,但耐受性很好.
- 在一半的患者中发现了阿片类药物使用,这表明了改善阿片类药物管理的潜力.
- 这项研究提供了MT后经历的疼痛的有价值的前性数据,突出了增强疼痛管理策略的领域.
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