清醒局部麻醉手术期间患者疼痛的定性方面
Qualitative aspects of patient pain during surgery with wide-awake local anesthesia.
作者信息
MacNeill A Luke, Wright John, Mayich D Joshua
机构信息
University of New Brunswick, 100 Tucker Park Road PO Box 5050, Saint John, NB, E2L 4L5, Canada.
Dalhousie University, 100 Tucker Park Rd, PO Box 5050, Saint John, NB, E2L 4L5, Canada.
出版信息
J Orthop. 2019 Jan 4;16(1):105-108. doi: 10.1016/j.jor.2018.12.015. eCollection 2019 Jan-Feb.
PURPOSE
Studies assessing intraoperative pain during surgery with wide-awake local anesthesia typically use a unidimensional pain scale, which provides a limited view of the pain experience. The present paper describes two studies that assessed qualitative aspects of intraoperative pain using a multidimensional pain measure.
METHODS
The first study was a retrospective survey of 24 patients who received a variety of foot and ankle procedures under wide-awake local anesthesia. Patients completed a copy of the Short-Form McGill Pain Questionnaire (SF-MPQ) through the mail an average of six months following surgery. The second study was a prospective assessment of 40 patients receiving forefoot procedures under the same anesthesia. Patients completed a copy of the SF-MPQ directly after the surgery.
RESULTS
Patients in the first study selected an average of 1.17 pain descriptors ( = 3.02) on the SF-MPQ, whereas patients in the second study selected an average of 1.90 pain descriptors ( = 1.82). In general, both studies found that sensory descriptors of pain (e.g., sharp, shooting, tender) were more common than affective descriptors. However, mean intensity ratings were low for all descriptors.
CONCLUSION
The results of these studies provide a more comprehensive understanding of the patient experience during surgery with wide-awake local anesthesia.
目的
评估清醒局部麻醉手术中术中疼痛的研究通常使用单维疼痛量表，这只能提供有限的疼痛体验视角。本文描述了两项使用多维疼痛测量方法评估术中疼痛定性方面的研究。
方法
第一项研究是对24例在清醒局部麻醉下接受各种足踝手术的患者进行的回顾性调查。患者在术后平均六个月通过邮件完成一份简式麦吉尔疼痛问卷（SF-MPQ）。第二项研究是对40例在相同麻醉下接受前足手术的患者进行的前瞻性评估。患者在手术后直接完成一份SF-MPQ。
结果
第一项研究中的患者在SF-MPQ上平均选择了1.17个疼痛描述词（标准差=3.02），而第二项研究中的患者平均选择了1.90个疼痛描述词（标准差=1.82）。总体而言，两项研究均发现疼痛的感觉描述词（如尖锐、刺痛、压痛）比情感描述词更常见。然而，所有描述词的平均强度评分都很低。
结论
这些研究结果为清醒局部麻醉手术中患者的体验提供了更全面的理解。
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