冷冻疗法减少妇科手术术后疼痛:一项随机对照试验。

Q2 Medicine
Pain Research and Treatment Pub Date : 2019-03-04 eCollection Date: 2019-01-01 DOI:10.1155/2019/2405159
Apisada Chumkam, Densak Pongrojpaw, Athita Chanthasenanont, Junya Pattaraarchachai, Kornkarn Bhamarapravatana, Komsun Suwannarurk
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引用次数: 15

摘要

目的:探讨冷冻治疗减轻妇科开腹探查术后疼痛的效果。材料与方法:由主治医师选择有妇科剖腹探查指征的患者,经皮肤低位横切行腹部手术。采用简单随机抽样法,将参与者随机分为研究组和对照组。术后2小时敷冷敷6小时。分别于术后2、6、12小时记录视觉模拟评分(VAS)。结果:招募100例患者,将其平均分为研究组和对照组。两组患者的平均年龄为43岁。两组的人口统计数据没有差异。两组中都有一半的参与者接受了子宫切除术。术后2小时,两组VAS评分相近。研究组术后6、12小时VAS评分低于对照组,差异有统计学意义。研究组与对照组术后24小时吗啡用量分别为2.8±3.4 mg和3.0±4.4 mg,差异无统计学意义。但研究组第一次吗啡需要量的登记时间比对照组有统计学意义上的延长。两组患者的住院时间相似。本研究无并发症报道。结论:冷冻治疗可减轻术后疼痛。在本研究中,接受妇科手术的患者疼痛缓解有所改善,并且首次服用镇痛药的时间延长。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Cryotherapy Reduced Postoperative Pain in Gynecologic Surgery: A Randomized Controlled Trial.

Cryotherapy Reduced Postoperative Pain in Gynecologic Surgery: A Randomized Controlled Trial.

Cryotherapy Reduced Postoperative Pain in Gynecologic Surgery: A Randomized Controlled Trial.

Cryotherapy Reduced Postoperative Pain in Gynecologic Surgery: A Randomized Controlled Trial.

Objective: To examine the effectiveness of cryotherapy for reducing postoperative pain in patients who underwent exploratory laparotomy for gynecologic surgery.

Materials and methods: Patients who had indication for an exploratory laparotomy gynecologic procedure were selected by attending physicians to undergo abdominal surgery via low transverse skin incision. The participants were randomized into study and control groups with simple random sampling methods. Cold packs were applied at two hours after operation for 6 hours. The visual analog scale (VAS) score was recorded at two, 6, and 12 hours after operation.

Result: One hundred cases were recruited and then divided into study and control groups equally. The mean age of both groups was 43 years. There was no difference in demographics data of both groups. Half of the participants in both groups underwent hysterectomies. At two hours after surgery, both groups had similar VAS scores. The study group had a lower VAS score at 6 and 12 hours after surgery than the control group with statistical difference. Morphine consumption within 24 hours after surgery in both the study and control groups was 2.8±3.4 and 3.0±4.4 mg, respectively, with no statistical difference. However the registration time of the first morphine requirement in the study group was statistically more prolonged than that of the control group. The lengths of hospital stay in both groups were similar. There was no complication reported in this study.

Conclusion: Cryotherapy can reduce postoperative pain. In this presented study the patients who underwent gynecologic surgery had improved pain relief and prolonged time for the first dose of the analgesic drug.

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来源期刊
Pain Research and Treatment
Pain Research and Treatment Medicine-Anesthesiology and Pain Medicine
CiteScore
3.60
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0.00%
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