手臂损伤手术后的疼痛:报告中的变化
Anna Zakusylo1, Aryan Borole1, Evan Lobato1
1Department of Orthopaedic Surgery, Rutgers Robert Wood Johnson Medical School, New Brunswick, USA.
Cureus
|February 25, 2026
概括
手臂损伤 (BPI) 手术后的术后疼痛是常见的,并且有不一致的报道. 需要标准化的疼痛评估方法来比较手术结果,并有效地管理患者的期望.
科学领域:
- 整形外科手术 整形外科手术
- 神经外科 神经外科
- 疼痛管理 疼痛管理
背景情况:
- 臂损伤 (BPI) 经常导致显著的术后疼痛和发病率.
- 目前关于BPI手术重建后疼痛结果的报告不一致,阻碍了对治疗疗效的明确理解.
研究的目的:
- 系统地审查关于在创伤性BPI手术治疗后报告术后疼痛的文献.
- 评估现有研究中疼痛测量技术和报告间隔的变化.
主要方法:
- 按照PRISMA指南进行了系统审查.
- 研究包括了接受手术治疗的创伤性BPI的成年人,他们使用视觉模拟尺度 (VAS) 报告疼痛.
- 数据提取的重点是术后疼痛评估的时间和方法.
主要成果:
- 九项研究符合纳入标准,显示了疼痛报告中的显著异质性.
- 报告了超过15个不同的术后时间点,很少有研究使用可比的间隔,排除了聚合分析.
- 在BPI手术后,疼痛总是普遍存在,特别是在根部脱落时;一些技术显示疼痛有质的改善.
结论:
- 在BPI手术后报告疼痛缺乏标准化,限制了有意义的结果比较.
- 标准化的测量间隔和报告方法对于临床指导和未来研究至关重要.
- 一致的疼痛评估对于指导临床预期和加强基于证据的BPI管理实践至关重要.
关键词:
臂状性病变 (BRACHIAL PLEXOPATHY) 是一种手臂状性病变.腕筋损伤的受伤情况臂状交叉的创伤神经移植神经移植神经转移 神经转移 神经转移 神经转移创伤性手臂结质损伤视觉模拟尺度是一个视觉模拟尺度.更多相关视频
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