腹膜非关闭和关闭在开放尾切除术期间对术后疼痛的影响:一项随机双盲研究
Dripta Ramya Sahoo1, Debasis Naik2, Vishnu Prasad2
1Department of surgery, Jawaharlal Institute of Postgraduate Medical Education and Research, Pondicherry, India. dripta@gmail.com.
Langenbeck's archives of surgery
|October 30, 2025
概括
在开放的尾切除术中,腹不关闭显著减少了手术后的疼痛和对止痛的需要. 这种方法不会增加手术部位感染或伤口脱光,从而改善患者的康复.
科学领域:
- 手术方面的创新.
- 腹部外科手术的结果
- 疼痛管理 疼痛管理
背景情况:
- 腹关闭在尾切除术中是标准的,但可能会增加粘附和疼痛.
- 这项研究调查了腹非关闭对术后结果的影响.
研究的目的:
- 在开放的尾切除术中,比较腹关闭和非关闭组之间的术后疼痛得分.
- 评估并发症,如手术部位感染和伤口脱光等.
主要方法:
- 开放性尾切除术患者被分为两个组:腹关闭和非关闭.
- 在术后第1天和第2天使用视觉模拟量表 (VAS) 评估疼痛.
- 记录了救援止痛的需要和持续时间.
主要成果:
- 与关闭组相比,非关闭组 (4) 的中位数VAS得分在术后第1天显着较低,而非关闭组 (5).
- 非关闭组需要的救援止痛药明显少 (15.5%) 与关闭组 (42%) 相比.
- 在30天后,没有观察到手术部位感染或伤口脱光的显著增加.
结论:
- 在开放性尾切除术期间,腹关节的不关闭会导致手术后疼痛的减少.
- 这种技术可以减少对止痛的需要和持续时间,而不会影响安全.
- 非关闭是腹关闭的安全有效替代方案,有可能改善患者的康复.
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