剖腹产后急性术后疼痛,强度和管理:一个队列多中心研究
Carles Espinós Ramírez1,2, Pere Castellví Obiols2, David Martínez-Rodríguez3
1Hospital Clínic de Barcelona, Barcelona, Spain.
European journal of pain (London, England)
|November 29, 2025
概括
剖腹产后的慢性术后疼痛 (CPSP) 影响了14.59%的女性,通常具有神经病变特征. 这种疼痛显著影响生活质量和日常功能,突出需要更好的管理策略.
科学领域:
- 产科和妇科 产科和妇科
- 疼痛医学 医学 疼痛医学
- 外科手术的结果
背景情况:
- 剖腹产后的慢性术后疼痛 (CPSP) 尽管普遍存在,但仍未得到充分研究.
- 剖腹产是一种常见的手术,对母亲的健康有潜在的长期影响.
- 这项研究解决了剖腹产后CPSP的知识差距.
研究的目的:
- 为了确定剖腹产后慢性术后疼痛 (CPSP) 的患病率.
- 描述与CPSP相关的临床特征和风险因素.
- 评估CPSP对患者生活质量和日常功能的影响.
主要方法:
- 一项前性多中心观察性研究,涉及接受选择性剖腹产的妇女.
- 参与者在术后3个月被评估持续疼痛.
- 数据收集包括临床采访,体检和验证的生活质量调查问卷.
主要成果:
- CPSP的患病率为14.59% (69/514名女性).
- 大多数疼痛是体状 (94.20%),神经病特征 (46.38%) 和慢性盆腔疼痛 (41.51%) 的高率.
- 术前因素和急性术后疼痛预测了CPSP的发展;神经病痛严重影响了情绪和功能.
结论:
- 剖腹产后持续疼痛的流行率是显著的.
- 一个显著的小组的患者发展混合的神经病和慢性盆腔疼痛综合征.
- CPSP会对生活质量产生负面影响,特别是在患有神经病症症状的患者中.
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