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经皮神经电刺激对肾移植供者疼痛、步行功能、呼吸肌力量和肺活量影响的随机对照试验方案。

Effects of transcutaneous electrical nerve stimulation on pain, walking function, respiratory muscle strength and vital capacity in kidney donors: a protocol of a randomized controlled trial.

机构信息

Physical Therapy Department, University of the City of Sao Paulo (UNICID), Sao Paulo, Brazil.

出版信息

BMC Nephrol. 2013 Jan 11;14:7. doi: 10.1186/1471-2369-14-7.

DOI:10.1186/1471-2369-14-7
PMID:23311705
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3586572/
Abstract

BACKGROUND

Pain is a negative factor in the recovery process of postoperative patients, causing pulmonary alterations and complications and affecting functional capacity. Thus, it is plausible to introduce transcutaneous electrical nerve stimulation (TENS) for pain relief to subsequently reduce complications caused by this pain in the postoperative period. The objective of this paper is to assess the effects of TENS on pain, walking function, respiratory muscle strength and vital capacity in kidney donors.

METHODS/DESIGN: Seventy-four patients will be randomly allocated into 2 groups: active TENS or placebo TENS. All patients will be assessed for pain intensity, walk function (Iowa Gait Test), respiratory muscle strength (maximal inspiratory pressure and maximal expiratory pressure) and vital capacity before and after the TENS application. The data will be collected by an assessor who is blinded to the group allocation.

DISCUSSION

This study is the first to examine the effects of TENS in this population. TENS during the postoperative period may result in pain relief and improvements in pulmonary tests and mobility, thus leading to an improved quality of life and further promoting organ donation.

TRIAL REGISTRATION

Registro Brasileiro de Ensaios Clinicos (ReBEC), number RBR-8xtkjp.

摘要

背景

疼痛是术后患者康复过程中的一个负面因素,它会导致肺部改变和并发症,并影响其功能能力。因此,为缓解疼痛,可以合理地采用经皮神经电刺激(TENS)疗法,从而减少术后疼痛引起的并发症。本文旨在评估 TENS 对肾供体患者疼痛、步行功能、呼吸肌力量和肺活量的影响。

方法/设计:74 名患者将被随机分配到 2 组:主动 TENS 或安慰剂 TENS。所有患者将在 TENS 应用前后评估疼痛强度、步行功能(爱荷华步态测试)、呼吸肌力量(最大吸气压力和最大呼气压力)和肺活量。评估员将对分组情况进行盲法评估。

讨论

这项研究首次在该人群中检查 TENS 的效果。术后期间的 TENS 可能会减轻疼痛,并改善肺功能测试和活动能力,从而提高生活质量,并进一步促进器官捐赠。

试验注册

巴西临床试验注册处(ReBEC),编号 RBR-8xtkjp。

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本文引用的文献

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Assessing the effects of transcutaneous electrical nerve stimulation (TENS) in post-thoracotomy analgesia.评估经皮电刺激神经疗法(TENS)在开胸术后镇痛中的效果。
Rev Bras Anestesiol. 2011 Sep-Oct;61(5):561-7, 308-10. doi: 10.1016/S0034-7094(11)70067-8.
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Surgical approach does not affect perioperative respiratory morbidity in living donor nephrectomy: comparison between anterior subcostal incision and flank incision.手术入路不影响活体供肾肾切除术围手术期呼吸系统发病率:肋下前切口与侧腹切口的比较
Transplant Proc. 2010 Jun;42(5):1472-5. doi: 10.1016/j.transproceed.2009.12.064.
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A new transient sham TENS device allows for investigator blinding while delivering a true placebo treatment.
一种新的短暂假性经皮电刺激设备可实现研究者盲法,同时提供真正的安慰剂治疗。
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Comparison of continuous and intermittent transcutaneous electrical nerve stimulation in postoperative pain management after coronary artery bypass grafting: a randomized, placebo-controlled prospective study.冠状动脉搭桥术后疼痛管理中连续与间歇性经皮电刺激神经疗法的比较:一项随机、安慰剂对照的前瞻性研究。
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[Transcutaneous electrical nerve stimulation in the relief of pain related to physical therapy after abdominal surgery.].[经皮电神经刺激缓解腹部手术后物理治疗相关疼痛的研究。]
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Clin J Pain. 2009 Jan;25(1):12-9. doi: 10.1097/AJP.0b013e31817d1070.
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