催眠和针对术后并发症的影响
Jasmina Markovič-Božič1,2, Meta Gradišar2, Mihela Petovar2
1Department of Anaesthesiology and Surgical Intensive Therapy, University Medical Centre Ljubljana, 1525 Ljubljana, Slovenia.
Healthcare (Basel, Switzerland)
|November 27, 2025
概括
这项研究探讨了脊柱手术患者的催眠和针,发现与标准护理相比,恶心,吐或阿片类药物使用没有显著差异. 需要进一步的研究来证实这些非药理学方法的好处.
科学领域:
- 麻醉学 麻醉学
- 综合医学是一个整体的医学.
- 疼痛管理 疼痛管理
背景情况:
- 手术后恶心和吐 (PONV) 和阿片类药物消费是脊髓手术后的重大问题.
- 对于PONV和疼痛的标准药理管理有局限性和潜在的副作用.
- 非药物干预,如催眠和针正在被探索作为标准护理的辅助.
研究的目的:
- 评估术后催眠和针在减少PONV,阿片类药物使用和脊椎手术后并发症方面的疗效.
- 为了比较催眠和针组 (HG),催眠,针和抗组 (HAG) 和标准对照组 (CG) 之间的结果.
主要方法:
- 一个随机的单中心研究,涉及60名接受脊柱手术的患者.
- 患者被分配到HG,HAG或CG,接受不同组合的催眠,针和抗药.
- 收集的数据包括阿片类药物和抗药的消费,患者满意度,幸福感,停留时间和并发症.
主要成果:
- 在手术后的第一小时或在ICU中需要额外的阿片类药物方面没有观察到显著的差异.
- 在所有组中,患者满意度和幸福度得分都很高,没有统计学上显著的变化.
- 在所有组中,抗药的使用率都很低,只有HG中的一个患者需要它们;并发症或住院时间没有显著差异.
结论:
- 催眠疗法显示出潜在的焦虑缓解效果,与二胺类药物相当.
- 术内针并没有增加PONV,即使减少了药物预防.
- 虽然没有发现阿片类药物和抗emetic消费的显著差异,但需要更大的研究来验证这些发现,并优化非药物干预.
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