高频经皮电神经刺激作为胰腺切除术后硬膜外向全身镇痛过渡时缓解疼痛的辅助手段。
High frequency TENS as a complement for pain relief in postoperative transition from epidural to general analgesia after pancreatic resection.
机构信息
Division of Nursing, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Stockholm, Sweden; Division of Nursing Science, Department of Medical and Health Sciences, University of Linköping, Linköping, Sweden.
Department of Surgery, Sahlgrenska University Hospital, Gothenburg, Sweden.
出版信息
Complement Ther Clin Pract. 2014 Feb;20(1):5-10. doi: 10.1016/j.ctcp.2013.11.004. Epub 2013 Nov 20.
AIM
This study investigated the effect of high frequency transcutaneous electric nerve stimulation (TENS) as a pain relieving complementary therapy at the transition from epidural (EDA) to general analgesia after pancreatic surgery by horizontal, abdominal incision.
METHOD
Fifty-five consecutive patients undergoing pancreatic resection were enrolled in the study and randomly assigned to active or sham TENS treatment. Twenty subjects were included in the analysis. Pain, quality of recovery and additional analgesia consumption were measured during the 24 h of transition from EDA to general analgesia.
RESULTS
Additional analgesic consumption and pain estimations at 24 h after EDA termination differed between the two groups, but was not statistically significant.
CONCLUSION
This study did not find support to reject use of high frequency TENS as complement during transition from EDA to general analgesia after major abdominal surgery with horizontal incision.
目的
本研究旨在探讨高频经皮电神经刺激（TENS）作为一种止痛补充疗法，对接受腹部水平切口胰腺手术后硬膜外（EDA）转为全身镇痛时的效果。
方法
连续纳入 55 例行胰腺切除术的患者，并随机分配至 TENS 治疗组或假 TENS 治疗组。其中 20 例患者纳入分析。在从硬膜外转为全身镇痛的 24 小时过渡期内，测量疼痛、恢复质量和额外镇痛药物的消耗。
结果
两组患者在 EDA 终止后 24 小时的额外镇痛药物消耗和疼痛评估存在差异，但无统计学意义。
结论
本研究未发现高频 TENS 在腹部水平切口大手术后从硬膜外转为全身镇痛过程中作为补充治疗的使用依据。
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