关于 "腹腔镜胆囊切除术患者术后镇痛中单纯药物疗法与手术技术结合药物疗法的比较:随机对照试验

Dongyao Xu, Youbao Huang, Wei Wang
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引用次数: 0

摘要

最近,我们饶有兴趣地阅读了 Kim 等人的文章[1]。作者对腹腔镜胆囊切除术(LC)患者术后疼痛的手术镇痛技术的证据质量进行了有意义的评估。该主题尤其引人入胜,因为它探讨了这些技术如何有效减轻腹腔镜胆囊切除术导致的术后疼痛。他们的研究结果表明,与采用药物镇痛的手术镇痛治疗(OP)组相比,药物镇痛(P)组不仅休息时疼痛(P < 0.001),而且咳嗽时疼痛(P = 0.001)的评分也更高。此外,作者还观察到,与 OP 组相比,P 组术后 24 小时的睡眠质量评分较低(67 ± 15 vs. 56 ± 18;P = 0.017)。这项随机对照试验为接受 LC 患者的治疗技术提供了重要证据。尽管这项研究鼓舞人心、发人深省,但我们仍有以下几点意见:
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A commentary on ‘Comparison of pharmacologic therapies alone versus operative techniques in combination with pharmacologic therapies for postoperative analgesia in patients undergoing laparoscopic cholecystectomy: A randomized controlled trial’
Recently, we read the article by Kim et al . [1] with immense interest. The authors conducted a meaningful assessment of the quality of evidence concerning operative analgesic techniques for patients undergoing laparoscopic cholecystectomy (LC) with postoperative pain. The topic is particularly intriguing as it explores how these techniques can effectively reduce post-operative pain resulting from LC. Their fi ndings revealed that not only pain at rest ( P < 0.001) but also pain on cough ( P = 0.001) scores were higher in the pharmacologic analgesia (P) group compared with those in the operative analgesic treatments with pharmacologic analgesia (OP) group. Additionally, the authors observed that the sleep quality scores at 24 h postoperatively were lower in the P group compared with the OP group (67 ± 15 vs. 56 ± 18; P = 0.017). This randomized controlled trial provided signi fi cant evidence of the treatment techniques for patients undergoing LC. Although the study is inspiring and thought-provoking, we have the following comments:
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