在手术中使用上肢围 - - 围的位置是否有所不同? 一个范围广泛的审查
Kimberley Yuen1, Laryssa Kemp2, Isabella Churchill1
1Division of Plastic Surgery, McMaster University, Hamilton, Ontario, Canada.
Plastic surgery (Oakville, Ont.)
|December 12, 2025
概括
与手臂和前臂环带相比,手腕环带在清醒手术中提供更高的舒适性. 本次审查强调了它们在改善患者耐受性和手术结果方面的潜力.
科学领域:
- 整形外科手术 整形外科手术
- 麻醉学 麻醉学
- 患者舒适度研究研究
背景情况:
- 上肢结器是手术中的标准,用于创建无血场.
- 手腕护带正在成为一种潜在的更舒适的替代品.
研究的目的:
- 审查在清醒手部手术中上肢带的应用和结果.
- 为了评估门的耐受性和相关因素.
主要方法:
- 按照PRISMA-ScR指南进行系统审查.
- 在Medline和Embase数据库中搜索相关研究.
- 提取了围时间和视觉模拟尺度 (VAS) 疼痛评分的数据.
主要成果:
- 包括26项研究,分析了上臂 (19),前臂 (9),手腕 (2) 带.
- 平均回旋的时间:上臂 (11.4分钟),前臂 (11.6分钟),手腕 (16.5分钟).
- 平均VAS疼痛得分:上臂 (4.0),前臂 (3.3),手腕 (0.4).
结论:
- 手腕护带在醒着手手术中表现出最高的患者舒适性和耐受性.
- 目前的文献表明,手腕带是患者和外科医生都能很好地容忍的.
- 需要进一步进行比较性临床试验来验证这些发现.
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