使用外科手术期间患者和家长报告的经验和结果措施来确定儿科术后恢复轨迹:一个观察性队列研究
Samantha Pang1, Nicholas West1, Haoyu Zhao2
1Research Institute, BC Children's Hospital, Vancouver, BC, Canada.
Anaesthesia
|February 26, 2026
概括
这项研究表明,从儿童和父母那里收集术后疼痛数据是可行的. 高度疼痛的关键风险因素包括年龄,女性性别,特定手术和心理困扰.
科学领域:
- 儿科外科手术 儿科外科手术
- 疼痛管理 疼痛管理
- 收集临床数据的收集.
背景情况:
- 儿童手术后疼痛需要有效的管理策略.
- 识别长期疼痛的危险因素对于预防性护理至关重要.
研究的目的:
- 评估从儿科患者的家属收集术前数据的可行性.
- 描述儿童手术后疼痛恢复轨迹.
- 为了确定与高术后疼痛相关的术前风险因素.
主要方法:
- 从444名儿童 (年龄为0-18岁) 收集的术后数据.
- 术前调查捕获了人口,心理社会和家庭因素.
- 术后结局调查跟踪了随时间推移的疼痛强度.
- 增长混合模型和多项逻辑回归分析了疼痛轨迹和风险因素.
主要成果:
- 在手术后长达30天的时间内实现了高的随访保留率.
- 疼痛轨迹表明非零疼痛得分,直至手术后90天.
- 高平均疼痛的显著手术前危险因素包括:年龄较大 (13-18岁),女性性别,骨科手术,焦虑,抑郁,以前的情绪创伤,最近使用止痛药和父母慢性疼痛.
结论:
- 从家庭收集纵向数据是可行的,并增强了对儿科疼痛恢复的理解.
- 确定的患者,家长和外科手术因素预测了长期术后疼痛的可能性更高.
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