结肠直肠手术后布洛芬软敷料和弹性吸收泡沫敷料的镇痛效果:单中心比较研究

IF 0.2 Q4 SURGERY Formosan Journal of Surgery Pub Date : 2024-01-11 DOI:10.1097/fs9.0000000000000116
Tzu-Yen Cheng, Kee-Thai Kiu, Min-Hsuan Yen, Ka-Wai Tam, Tung-Cheng Chang
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引用次数: 0

摘要

术后伤口护理和疼痛控制是术后恢复过程中的关键环节。本研究旨在评估布洛芬软弹性吸收泡沫敷料在结直肠手术后的镇痛效果是否优于传统纱布。 研究人员从一家医疗机构的电子病历数据库档案中提取了 2021 年 5 月至 2022 年 1 月期间接受结直肠手术的患者数据。62名患者使用布洛芬软弹性吸收泡沫敷料进行术后伤口护理,78名患者使用纱布。主要研究结果包括敷料数量、视觉模拟量表疼痛评分、镇痛剂用量、并发症和住院时间。 布洛芬组术后第 5 天的平均疼痛评分(2.03 ± 1.55)明显低于对照组(2.63 ± 1.72,P = 0.035)。术后第三天帕瑞昔布的平均用量(毫克),布洛芬组(2.58 ± 12.27)明显低于对照组(10.26 ± 21.80,p = 0.01)。布洛芬组在术后第一周的累计换药次数(平均值 ± 标准差;3.00 ± 0.98)明显低于对照组(7.55 ± 2.68,P < 0.001)。两组的并发症发生率和住院时间没有明显差异。 布洛芬软弹性吸收泡沫敷料既能增强术后恢复期的镇痛效果,又能减少术后伤口护理的相关费用和敷料时间。
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Analgesic Effects of Ibuprofen Soft and Flexible Absorbent Foam Dressing After Colorectal Surgery: A Single-Center Comparative Study
Postoperative wound care and pain management are crucial components of the postoperative recovery process. This study aims to evaluate whether the analgesic effects of the ibuprofen soft and flexible absorbent foam dressing are superior to those of traditional gauze following colorectal surgery. Data pertaining to patients who underwent colorectal surgery between May 2021 and January 2022 were extracted from the electronic medical records database archive of a single institution. The ibuprofen soft and flexible absorbent foam dressing was applied to 62 patients for postoperative wound care, while gauze was used for 78 patients. Primary outcome measurements included the count of dressings, visual analog scale pain scores, analgesic dosage, complications, and length of hospitalization. The mean pain score on the 5th day postoperation was significantly lower for the ibuprofen group (2.03 ± 1.55) than for the control group (2.63 ± 1.72, p = 0.035). The mean dosage (mg) of parecoxib on the 3rd day postoperation was significantly lower for the ibuprofen group (2.58 ± 12.27) than for the control group (10.26 ± 21.80, p = 0.01). The cumulative number of dressing changes during the 1st week postoperation was significantly lower for the ibuprofen group (mean ± standard deviation; 3.00 ± 0.98) than for the control group (7.55 ± 2.68, p < 0.001). No significant differences were observed in the complication rate or length of hospitalization between the groups. The ibuprofen soft and flexible absorbent foam dressing can either enhance the analgesic effect during postoperative recovery or reduce the cost and dressing time associated with postoperative wound care.
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来源期刊
CiteScore
0.40
自引率
0.00%
发文量
32
审稿时长
11 weeks
期刊介绍: Formosan Journal of Surgery, a publication of Taiwan Surgical Association, is a peer-reviewed online journal with Bimonthly print on demand compilation of issues published. The journal’s full text is available online at http://www.e-fjs.org. The journal allows free access (Open Access) to its contents and permits authors to self-archive final accepted version of the articles on any OAI-compliant institutional / subject-based repository.
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