与睡眠呼吸障碍手术相关的术后疼痛的管理:系统性审查
Mengmeng Li1, Qinglai Tang2, Qian Yang2
1Department of Clinical Medicine, Hunan Normal University School of Medicine, Changsha, 410013, Hunan, China.
概括
在睡眠呼吸障碍 (SDB) 手术后有效的术后疼痛管理需要多模式止痛. 结合药理和非药理策略,可以改善恢复,并减少SDB手术后的疼痛.
科学领域:
- 麻醉学 麻醉学
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 睡眠医学 睡眠医学
背景情况:
- 手术后的疼痛是睡眠呼吸障碍 (SDB) 手术后的一个重要并发症.
- 不充分的疼痛控制会导致不良事件和延迟恢复.
研究的目的:
- 系统地审查SDB手术中术后疼痛的药理学和非药理学干预措施.
- 确定最佳的止痛策略,以改善患者的治疗结果.
主要方法:
- 对28项随机对照试验的系统综述.
- 在多个数据库 (PubMed,EMBASE,Scopus等) 中进行全面搜索. 和手动的参考选.
主要成果:
- 药理学药物 (局部麻醉剂,NSAIDs,皮质类固醇,糖酸盐,维生素C) 显示了镇痛效果.
- 非药理方法 (ERAS协议,伤口冷却,神经阻塞,PCA) 也可以减少疼痛.
- 鼻腔内布托尔醇可能是一种更安全的阿片类药物替代品;与外科手术技术相关的疼痛变化.
结论:
- 支持结合药理和非药理方法的多模式止痛疗法.
- 术前评估和手术规划应整合疼痛管理.
- 需要进一步进行高质量的试验,以完善SDB患者的策略.
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