肩部运动常规对全腹腔镜子宫切除术术后肩部疼痛的影响:随机临床试验

Q4 Medicine Medicina Pub Date : 2024-09-10 DOI:10.3390/medicina60091478
Andrea Olguín-Ortega, Lino Palacios-Cruz, Alejandro Rendón-Molina, Oliver Cruz-Orozco, Brenda Sánchez-Ramírez, Silvia Fabiola Estrada-Rivera, José Roberto Silvestri-Tomassoni, Ana Cristina Arteaga-Gómez, Enrique Reyes-Muñoz
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引用次数: 0

摘要

背景和目的:术后肩痛是全腹腔镜子宫切除术(TLH)后的常见问题。本研究评估了肩部常规运动对无并发症 TLH 术后肩部疼痛的影响。材料和方法:一项开放标签随机临床试验纳入了在 2024 年 1 月 20 日至 3 月 20 日期间接受 TLH 手术且之前没有肩部疼痛的女性。参与者被随机分为两组:第一组(36 人)接受肩部常规运动,第二组(39 人为对照组)进行手部常规运动。在术后 6 小时、24 小时和 7 天使用视觉模拟量表 (VAS) 评估肩部疼痛。结果75名女性参加了此次活动。各组之间在人口统计学变量、手术时间和住院时间方面无明显差异。三个时间点(6 小时、24 小时和 7 天)的肩痛评分(VAS)显示,组间无明显差异(分别为 p = 0.57、p = 0.69 和 p = 0.91)。同样,切口疼痛和腹痛也无明显差异。结论:肩部常规运动并不能明显减轻无并发症 TLH 术后妇女的肩部疼痛。
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Effect of Shoulder Movement Routine on Postoperative Shoulder Pain in Total Laparoscopic Hysterectomy: A Randomized Clinical Trial
Background and Objectives: Postoperative shoulder pain is a common issue after total laparoscopic hysterectomy (TLH). This study evaluated the impact of a shoulder movement routine on postoperative shoulder pain in women undergoing uncomplicated TLH. Materials and Methods: An open-label randomized clinical trial included women without prior shoulder pain undergoing TLH between 20 January and 20 March 2024. Participants were randomized into two groups: Group 1 (n = 36) received a shoulder movement routine, while Group 2 (control, n = 39) performed a hand movement routine. Shoulder pain was assessed using the visual analog scale (VAS) at 6 h, 24 h, and 7 days postoperatively. Results: Seventy-five women participated. No significant differences were found between the groups regarding demographic variables, surgery duration, or hospital stay. Shoulder pain scores (VAS) at three time points (6 h, 24 h, and 7 days) showed no significant differences between groups (p = 0.57, p = 0.69, and p = 0.91, respectively). Similarly, there were no significant differences in incisional or abdominal pain. Conclusions: The shoulder movement routine did not significantly reduce postoperative shoulder pain in women undergoing uncomplicated TLH.
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来源期刊
Medicina
Medicina Medicine-Medicine (all)
CiteScore
0.10
自引率
0.00%
发文量
66
审稿时长
24 weeks
期刊介绍: Publicada con el apoyo del Ministerio de Ciencia, Tecnología e Innovación Productiva. Medicina no tiene propósitos comerciales. El objeto de su creación ha sido propender al adelanto de la medicina argentina. Los beneficios que pudieran obtenerse serán aplicados exclusivamente a ese fin.
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