Stripping Massage and Literature Review in Post-Thoracoscopic Chest Pain Management.

IF 1.3 4区 医学 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS Thoracic and Cardiovascular Surgeon Pub Date : 2024-09-01 Epub Date: 2023-07-25 DOI:10.1055/a-2137-9035
Jiun Hsu, Sheng-Pin Yu, Chien-Te Pan, Pei-Ming Huang
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Abstract

The aim of this randomized study was to investigate whether stripping massage (SM) of myofascial trigger points in the lower rhomboid muscle could alleviate chest pain in patients following thoracoscopic surgery. In addition, a literature review was conducted to assess the effectiveness of various pain management techniques. Sixty adult patients who reported a visual analog scale (VAS) score of 4 or higher were randomly assigned to receive conventional analgesics alone (conventional group) or combined with SM twice daily for 2 weeks (SM group). VAS scores and the use of additional analgesics were evaluated on postoperative days 1, 3, 7, 14, and 30. Using the PubMed and Cochrane Library databases, a review of current pain management techniques was carried out up to January 31, 2022. A subgroup analysis was also performed to examine the treatment effect during different surgical periods and techniques. Results showed that the SM group had significantly lower VAS scores on postoperative days 3, 7, 14, and 30 (p < 0.001), as well as a shorter hospitalization duration and reduced need for additional analgesics (p < 0.001). The literature review included a total of 20 studies (2,342 cases of chest pain relief after thoracoscopic surgery), which indicated that serratus anterior plane (SAP) blocks were commonly used as a perioperative approach to reduce pain and opioid consumption. SM and SAP can both serve as adjuvant treatments for chest pain in patients following thoracoscopic surgery, with SM being a safe and noninvasive pain control option after hospital discharge.

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胸腔镜术后胸痛治疗中的剥离按摩和文献综述。
这项随机研究旨在探讨对斜方肌下部的肌筋膜触发点进行剥离按摩(SM)能否缓解胸腔镜手术后患者的胸痛。此外,还进行了文献综述,以评估各种疼痛治疗技术的有效性。60 名报告视觉模拟量表(VAS)评分为 4 分或更高的成年患者被随机分配到单独接受常规止痛药(常规组)或结合 SM 每天两次,持续 2 周(SM 组)。术后第 1、3、7、14 和 30 天对 VAS 评分和额外镇痛药的使用情况进行评估。利用 PubMed 和 Cochrane 图书馆数据库,对截至 2022 年 1 月 31 日的当前疼痛治疗技术进行了回顾。同时还进行了分组分析,以研究不同手术时期和技术的治疗效果。结果显示,SM 组在术后第 3 天、第 7 天、第 14 天和第 30 天的 VAS 评分明显较低(P P
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来源期刊
CiteScore
3.40
自引率
6.70%
发文量
365
审稿时长
3 months
期刊介绍: The Thoracic and Cardiovascular Surgeon publishes articles of the highest standard from internationally recognized thoracic and cardiovascular surgeons, cardiologists, anesthesiologists, physiologists, and pathologists. This journal is an essential resource for anyone working in this field. Original articles, short communications, reviews and important meeting announcements keep you abreast of key clinical advances, as well as providing the theoretical background of cardiovascular and thoracic surgery. Case reports are published in our Open Access companion journal The Thoracic and Cardiovascular Surgeon Reports.
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