在全身麻醉下进行口腔内镜肌瘤术后食道疼痛的危险因素:一项回顾性研究
Jia-Wei Yin1, Wen-Qi Zhang2, Han Xu1
1Department of Anesthesiology, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou 310000, Zhejiang Province, China.
World journal of gastrointestinal surgery
|December 8, 2025
概括
后POEM疼痛影响了许多阿喀拉西亚患者,手术前的焦虑和较高的埃卡德得分被确定为关键风险因素. 了解这些因素可以帮助管理术后食道疼痛.
科学领域:
- 胃肠病学 胃肠病学
- 手术创新 在外科创新.
- 疼痛管理 疼痛管理
背景情况:
- 口腔内镜食道肌切除术 (POEM) 是一种用于治疗秋的微创技术.
- 后POEM食道疼痛影响了相当一部分患者,影响了康复和生活质量.
- 需要有效的策略来解决POEM后疼痛.
研究的目的:
- 为了确定POEM后疼痛的发生率.
- 为了确定与POEM后疼痛相关的独立风险因素.
主要方法:
- 分析了接受POEM的123名阿喀拉西亚患者.
- 疼痛的评估是使用数值评分尺度 (NRS) 在手术后12小时进行的.
- 单变量和多变量逻辑回归确定了风险因素.
主要成果:
- 手术前的焦虑 (OR=5.195) 和更高的埃卡德得分 (OR=1.317) 是POEM后疼痛的独立风险因素.
- 预测模型显示了良好的准确性 (AUC=0.760).
- 26.8%的患者经历了中度至重度的POEM后疼痛.
结论:
- 在阿喀拉西亚患者中,POEM后疼痛很普遍.
- 手术前的焦虑和更高的埃卡特分数是POEM后疼痛的重要预测因素.
- 识别这些风险因素可以指导干预措施,以改善患者的治疗结果.
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