Seo Ji Won, Kim Moon Jin, Yoon Sung-Hoon, Paik Kwang Yeol, Park Sun Min, Kang Won Kyung, Lee Dosang, Lee Chul Seung
Department of Surgery, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.
Department of Surgery, Incheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Incheon, Korea.
Ann Coloproctol. 2020 Dec;36(6):398-402. doi: 10.3393/ac.2020.01.16. Epub 2020 Jan 24.
Few studies have analyzed the effects of preoperative pain education on the postoperative decision to discharge. The purpose of this study was to determine the effects of pain education and management on the decision to discharge patients after single-incision laparoscopic appendectomy (SILA).
We analyzed 135 patients who had undergone SILA for acute appendicitis between March 2017 and April 2018 in a single medical center. Of these, 72 patients (53.3%) had received preoperative pain education (group 1), and 63 (46.7%) had not (group 2). We compared perioperative outcomes and complications between the groups.
Baseline characteristics of sex, age, body mass index, American Society of Anesthesiologist score, and systemic inflammation factors (neutrophil-lymphocyte ratio, C-reactive protein level) did not differ significantly between the groups. There were no postoperative complications for patients in either group. Perioperative consequences and pathologic findings were not significantly different between the groups; however, length of hospital was significantly shorter in group 1.
Preoperative pain education in relation to postoperative pain management influenced the decision to shorten the postoperative hospital length of stay after SILA.
很少有研究分析术前疼痛教育对术后出院决策的影响。本研究的目的是确定疼痛教育与管理对单切口腹腔镜阑尾切除术（SILA）后患者出院决策的影响。
我们分析了2017年3月至2018年4月在单一医疗中心接受SILA治疗急性阑尾炎的135例患者。其中，72例患者（53.3%）接受了术前疼痛教育（第1组），63例（46.7%）未接受（第2组）。我们比较了两组的围手术期结局和并发症。
两组在性别、年龄、体重指数、美国麻醉医师协会评分和全身炎症因子（中性粒细胞与淋巴细胞比率、C反应蛋白水平）的基线特征上无显著差异。两组患者均无术后并发症。两组的围手术期后果和病理结果无显著差异；然而，第1组的住院时间明显更短。
与术后疼痛管理相关的术前疼痛教育影响了SILA术后缩短住院时间的决策。
