自主参数与术后急性疼痛相关,麻醉后护理单位:系统性审查
Antonio Jorge Forte1, Francisco R Avila2, Sahar Borna2
1Division of Plastic Surgery, Mayo Clinic, Jacksonville, FL; Center for Digital Health, Mayo Clinic, Rochester, MN.
概括
使用生理信号的客观疼痛评估显示出有希望. 光斑血学 (PPG) 和瞳孔特征与术后疼痛强度有很强的相关性,这表明临床使用的潜力.
科学领域:
- 生理监测是指对身体进行生理监测.
- 疼痛评估 疼痛评估 疼痛评估
- 自主神经系统的自主神经系统
背景情况:
- 目前的疼痛评分系统正在向传感器衍生的生理学参数发展.
- 像心率变化和瞳孔直径这样的自主参数可以量化疼痛强度.
- 在术后患者中使用这些参数的证据有限.
研究的目的:
- 审查和分析自主参数与自我报告的疼痛强度之间的相关性.
- 评估生理参数对客观术后疼痛测量的潜力.
主要方法:
- 在PubMed/Medline,Embase,Scopus和谷歌学者的系统文献搜索.
- 在急性术后疼痛中包括评估自主参数的研究 (例如心率变化,光聚光学,瞳孔反射).
- 分析测量参数与疼痛强度之间的相关性.
主要成果:
- 在最初确定的3,200多项研究中,有23项研究符合资格标准.
- 摄影光电显微镜 (PPG) 的特征与疼痛评分有很强的相关性 (r = -0.738至0.778).
- 瞳孔直径变量系数和止痛感知指数显示出高灵敏度;瞳孔光反射幅度显示出高特异性.
结论:
- 光斑血学 (PPG) 和瞳孔特征是客观的术后疼痛评估的强有力的候选者.
- 结合机器学习的进一步研究可能会促进这些客观疼痛指标的临床翻译.
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