应用疼痛贴评估开胸手术患者疼痛、呼吸困难和肺功能价值的变化

Semaye Türk, H. Çelik, B. Çelik, Z. Akça
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引用次数: 1

摘要

背景:我们的目的是通过在开胸手术患者术后使用疼痛贴来评估疼痛、呼吸困难感觉和呼吸功能的变化。材料和方法:55例患者纳入经当地伦理委员会批准的前瞻性随机研究。将患者分为两组,术后第1天,I组患者应用疼痛贴,II组患者应用与疼痛贴相似的安慰剂贴。采用视觉模拟评分法(VAS)评估疼痛,采用改良Borg评分法(MBS)评估呼吸困难,采用肺功能测试和6分钟步行测试(6mwt)评估术前和术后肺功能。结果:ⅰ组29例,ⅱ组26例,平均年龄59.2±10.4(18-75)岁。经统计分析,各组患者年龄、性别、身高、体重、BMI、6 MWT、MBS、FEV1、FVC、FEV1/FVC值差异无统计学意义(p < 0.05)。两组术后第3天VAS评分有差异(4.65±1.79∶6.57±1.74;P < 0.001)。此外,I组与II组的术后并发症发生率也有差异(17.2% vs 30.7%;P = 0.003)。结论:在开胸手术患者中应用疼痛贴是一种可靠、简便的术后疼痛控制方法。它可以应用于患者早期的疼痛控制,这样可以防止术后并发症的发生。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Evaluation of the change in pain, dyspnea perception, and pulmonary function values with pain tape application in patients undergoing thoracotomy
Background: We aimed to evaluate the changes in pain, dyspnea perception and respiratory functions by applying pain tape in the postoperative period in patients who underwent thoracotomy. Materials and Methods: 55 patients were included in the prospective, randomized study with local ethics committee approval. The patients were divided into two groups, and on the postoperative 1st day, pain tape was applied to group I patient and placebo tape similar to pain tape was applied to group II patient. Visual Analogue Scale (VAS) was used for pain assessment, Modified Borg Scale (MBS) for dyspnea assessment, pulmonary function test and six-minute walking test (6 MWT) were used to evaluate pulmonary functions in the preoperative and postoperative periods. Results: There were 29 patients in group I and 26 patients in group II, with mean age of 59.2 ± 10.4 (18-75) years. According to the statistical analysis, no difference was found between the groups in terms of age, gender, height, weight, BMI, 6 MWT, MBS, FEV1, FVC, FEV1/FVC values (p > 0.05). There was a difference between the groups in terms of VAS values measured on the 3rd postoperative day (4.65 ± 1.79 vs. 6.57 ± 1.74; p > 0.001). In addition, the postoperative complication rate was different in group I compared to group II (17.2% vs. 30.7%; p = 0.003). Conclusion: Pain tape application is a reliable and simple method for pain control in the postoperative period in patients undergoing thoracotomy. It can be applied to patients for pain control in the early period, and in this way, the development of postoperative complications can be prevented.
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