在全膝关节整形术后,术后疼痛强度和外科手术期间失血之间的相关性
Panapol Varakornpipat1, Sirikarn Tananoo1, Akaworn Mahatthanatrakul1
1Department of Orthopaedics, Faculty of Medicine, Naresuan University, Phitsanulok, Thailand, nu.ac.th.
Advances in orthopedics
|December 18, 2025
概括
在全膝关节整形术 (TKA) 后,严重的术后疼痛增加了输血和并发症的风险. 优化疼痛管理对于改善TKA患者康复至关重要.
科学领域:
- 整形外科手术 整形外科手术
- 疼痛管理 疼痛管理
- 患者的治疗结果.
背景情况:
- 在全膝关节整形术 (TKA) 后的术后疼痛可以影响生理反应.
- 疼痛强度与外科手术后的结果 (如失血) 之间的关系尚未完全理解.
研究的目的:
- 评估TKA患者术后疼痛强度和术后血流之间的相关性.
- 评估疼痛对输血风险和整体并发症的影响.
主要方法:
- 追溯分析405个单边的TKA.
- 患者分为轻度,中度和重度疼痛组,基于24小时术后视觉模拟量表 (VAS).
- 用于确定结果的多变量回归分析,包括计算血液损失 (CBL),输血风险和并发症.
主要成果:
- 严重的疼痛强度与输血风险增加有关 (RR 1.92,p=0.068).
- 手术前的血红蛋白水平显著降低了输血风险 (RR 0.39,p < 0.001).
- 严重疼痛组的整体并发症发生率最高 (13.3%,p < 0.01).
结论:
- 在TKA后的前24小时内,严重的疼痛与更高的输血和并发症风险有关.
- 有效的疼痛管理对于优化TKA患者的康复至关重要.
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