腹部肥胖是腹腔镜手术后疼痛的预测因素吗？来自横断面研究的见解

Q2 Medicine

Obesity Medicine Pub Date : 2025-04-01 DOI:10.1016/j.obmed.2025.100608

Morteza Hashemian , Habibeh Ahmadipour , Mohammad Shafiee , Alireza Shakeri , Kosha Keramati , Mohammad Amin Rajizadeh , Ladan Amirkhosravi

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引用次数: 0

摘要

术后疼痛是手术后最不希望出现的并发症。腰围可以作为确定超重和腹部肥胖的筛查工具。此外，肥胖、代谢综合征和疼痛有一些共同的促炎特征。本研究探讨了腹腔镜胆囊切除术（LC）后腰围与疼痛强度的关系。方法对2022年9月至12月在克尔曼市Afzalipour和Bahonar医院转诊的160例LC患者进行横断面研究。所有患者均行全身麻醉，由同一手术组进行手术。每次手术后，再次测量患者的临床信息表。采用视觉模拟量表（Visual analogue Scale， VAS）评分系统，客观评价患者在进入康复期(0)及12、24 h后的疼痛程度。阿片类药物（吗啡和哌替啶）和其他止痛药（如非甾体抗炎药）的用量也从患者记录中提取出来。结果本研究中70%的患者有腹部肥胖。腹部肥胖患者恢复期的平均疼痛强度评分明显较高。有药物滥用史或无药物使用史的腹部肥胖患者在康复期的平均疼痛强度评分高于无腹部肥胖患者。腹部肥胖患者在恢复期和前12 h麻醉药品分发频率较高。结论腹部肥胖患者疼痛强度评分随康复期升高。此外，肥胖患者使用更多的镇痛药。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

Is Abdominal Obesity A Predictor of Pain after Laparoscopic Surgery? Insights from a cross-sectional study

查看原文本刊更多论文

Is Abdominal Obesity A Predictor of Pain after Laparoscopic Surgery? Insights from a cross-sectional study

Aim

Postoperative pain is the most undesirable complication after surgery.Waist circumference can be a screening tool to determine overweight and abdominal obesity. Furthermore, obesity, metabolic syndrome, and pain have some proinflammatory features in common. The present study investigates the relationship between waist circumference and pain intensity after laparoscopic cholecystectomy (LC).

Methods

This cross-sectional study was directed at 160 candidates of LC referred to Afzalipour and Bahonar hospitals in Kerman from September to December 2022. All patients underwent general anesthesia and were operated on by the same surgery group. After each operation, the patient's clinical information form was again measured. The patient's pain level was objectively assessed based on the Visual Analog Scale (VAS) scoring system when entering the recovery (0) and 12 and 24 h later. The amount of opioids (morphine and pethidine) and other painkillers (such as NSAIDs) consumed was also extracted from the patient records.

Results

In this study, 70 % of the patients had abdominal obesity. The mean pain intensity score in the recovery phase was significantly higher in patients with abdominal obesity. Also, the mean pain intensity score in patients with abdominal obesity who had a history of drug abuse or non-use of drugs was higher in the recovery phase than those without abdominal obesity. The frequency of narcotic drug distribution in patients with abdominal obesity in recovery and first 12 h was higher.

Conclusion

The pain intensity score in patients with abdominal obesity increased during recovery. Also, obese patients consume more analgesics.

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来源期刊

Obesity Medicine Medicine-Public Health, Environmental and Occupational Health

CiteScore

5.50

自引率

0.00%

发文量

审稿时长

40 days

期刊介绍： The official journal of the Shanghai Diabetes Institute Obesity is a disease of increasing global prevalence with serious effects on both the individual and society. Obesity Medicine focusses on health and disease, relating to the very broad spectrum of research in and impacting on humans. It is an interdisciplinary journal that addresses mechanisms of disease, epidemiology and co-morbidities. Obesity Medicine encompasses medical, societal, socioeconomic as well as preventive aspects of obesity and is aimed at researchers, practitioners and educators alike.