在神经轴麻醉下剖腹产期间的手术内感觉:一项前性队列研究,绘制感官体验的地图
Sharon Orbach-Zinger1, Karam Azem, Maya Bar
1From the Department of Anesthesiology, Beilinson Hospital, Rabin Medical Centre and the Gray Faculty of Medical & Health Sciences, Tel Aviv University, Tel Aviv, Israel (SOZ, KA, MB, DK, DF, RC, AK, DI, SF), Epidemiology, Biostatistics and Prevention Institute and the Faculty of Medicine, University of Zurich, Zurich, Switzerland (PH), Department of Anaesthesia, Soroka University Medical Centre and the Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel (AF, AS, YB).
在脊髓麻醉下剖腹产期间,疼痛,压力和触摸等手术内感觉是常见的. 然而,这些感觉通常是可以很好地容忍的,大多数患者经历它们没有显著的痛苦.
科学领域:
- 产科和妇科 产科和妇科
- 麻醉学 麻醉学
- 外科手术患者的经验
背景情况:
- 神经轴麻醉经常用于剖腹产.
- 手术期间的感觉 (疼痛,压力,触摸) 是常见的,并可能影响患者的体验.
研究的目的:
- 在脊髓麻醉下剖腹产期间映射手术内感觉.
- 在整个手术阶段描述感觉模式,强度,位置和烦.
主要方法:
- 未来的,双中心的队列研究.
- 146名妇女接受了选择性剖腹产与脊髓麻醉.
- 使用口头数值量表 (VNS) 测量感觉;记录发生率,强度和烦.
主要成果:
- 15.1%的人经历了疼痛,主要是在子宫外置/再插入期间 (最大强度为5.0).
- 91.8%的人报告有压力和56.2%的触摸,主要是在分娩期间 (最大强度为5.0).
- 疼痛总是伴随着压力/触摸;压力/触摸很少令人烦 (7.5%/4.3%).
结论:
- 在脊髓麻醉下剖腹产期间,手术内感觉很常见,但通常耐受良好.
- 压力和触摸是经常发生的,但很少令人痛苦.
- 研究结果支持手术前咨询,以增强母亲的经验.
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