三级保健中心腹腔镜胆囊切除术后的术后疼痛：描述性横断面研究。

Postoperative Pain after Laparoscopic Cholecystectomy in a Tertiary Care Center: A Descriptive Cross-sectional Study.

机构信息

Department of General Surgery, Manipal College of Medical Sciences, Phulbari, Pokhara, Nepal.

Department of Anesthesia, Manipal College of Medical Sciences, Phulbari, Pokhara, Nepal.

出版信息

JNMA J Nepal Med Assoc. 2024 Jul 31;62(276):502-506. doi: 10.31729/jnma.8719.

DOI:10.31729/jnma.8719

PMID:39369396

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11455656/

Abstract

INTRODUCTION

Laparoscopic cholecystectomy, being minimally invasive, is widely accepted in comparison to open cholecystectomy. The major benefits are small incision, less wound pain, rapid recovery, shorter hospital stay and earlier return to activities. Although, trauma and injury are limited in laparoscopic cholecystectomy; it is not a pain free surgery. Hence, we aimed to find the prevalence of pain at wound site after laparoscopic cholecystectomy at various time intervals in post-operative period.

METHODS

The descriptive cross-sectional study was conducted among 125 patients who belonged to American Society of Anesthesiologists grade I & II patients, with diagnosis of symptomatic gallstone disease from October, 2022 to September, 2023 in a tertiary care hospital after ethical approval was obtained from Institutional Review Board (Reference number: MEMG/483/IRC). Total sampling was done in this study. The post-operative pain at wound site was measured at 12, 24, 36 and 48 hours. Data were analyzed using Statistical Package of Social Sciences 21.0.

RESULTS

At 12 hours postoperatively, 2 (1.60%) patients complained of severe pain, 120 (96%) patients reported moderate pain and 3 (2.40%) patients expressed their pain as being mild. Likewise, at 24, 36 and 48 hours postoperatively, none of the patients suffered from severe pain. At 24 hours post-operative, 105 (84%) patients reported moderate pain which gradually declined over 48 hours. At 36 and 48 hours post-operative mild pain was reported by 85 (68%) and 117 (93.60%) patients. The moderate pain was complained by 40 (32%) and 8 (6.40%) patients.

CONCLUSIONS

The majority of patients suffered from mild to moderate pain after laparoscopic cholecystectomy, the intensity of which decreased over 48 hours.

摘要

引言

与开放性胆囊切除术相比，腹腔镜胆囊切除术具有微创的优势，因此被广泛接受。其主要优点包括切口小、伤口疼痛少、恢复快、住院时间短和更早地恢复活动。虽然腹腔镜胆囊切除术的创伤和损伤有限，但它并不是一种无痛手术。因此，我们旨在确定术后不同时间间隔腹腔镜胆囊切除术后伤口部位疼痛的发生率。

方法

这是一项描述性的横断面研究，于 2022 年 10 月至 2023 年 9 月在一家三级保健医院进行，共纳入 125 名美国麻醉医师协会 I 级和 II 级的症状性胆囊疾病患者，这些患者均经伦理委员会批准（参考编号：MEMG/483/IRC）。本研究采用总体抽样。术后 12、24、36 和 48 小时测量伤口部位的术后疼痛。使用社会科学统计软件包 21.0 进行数据分析。

结果

术后 12 小时，有 2 名（1.60%）患者诉严重疼痛，120 名（96%）患者诉中度疼痛，3 名（2.40%）患者诉轻度疼痛。同样，在术后 24、36 和 48 小时，没有患者出现严重疼痛。术后 24 小时，105 名（84%）患者诉中度疼痛，疼痛逐渐减轻至术后 48 小时。术后 36 和 48 小时，85 名（68%）和 117 名（93.60%）患者诉轻度疼痛，40 名（32%）和 8 名（6.40%）患者诉中度疼痛。