Đánh giá một số yếu tố liên quan đến đau dội ngược sau phong bế tiêm một lần để giảm đau trong mổ nội soi khớp gối=Assessment of factors associated with rebound pain following a single-shot analgesic injection for arthroscopic knee surgery

0 Người đánh giá. Xếp hạng trung bình 0

Tác giả: Hoàng Anh Lưu, Thanh Hùng Trần, Hoàng Phương Vũ

Ngôn ngữ: vie

Ký hiệu phân loại:

Thông tin xuất bản: Tạp chí Nghiên cứu y học (Đại học Y Hà Nội), 2024

Mô tả vật lý: tr.36-43

Bộ sưu tập: Metadata

ID: 244807

Thêm vào giỏ

Đau dội ngược là cơn đau dữ dội xảy ra sau khi hết tác dụng của gây tê vùng. Sự xuất hiện và cường độ của đau dội ngược chịu ảnh hưởng bởi các yếu tố liên quan đến bệnh nhân, phẫu thuật và gây tê. Chúng tôi tiến hành nghiên cứu trên 108 bệnh nhân phẫu thuật nội soi khớp gối được giảm đau sau mổ bằng gây tê thần kinh hiển trong ống cơ khép một lần với ropivacain. Một số yếu tố có liên quan đến tình trạng đau dội ngược được đánh giá trong nghiên cứu bao gồm: các yếu tố của bệnh nhân (tuổi, giới, BMI), loại phẫu thuật, thời gian phẫu thuật, các yếu tố liên quan đến vô cảm. Kết quả cho thấy tỉ lệ đau dội ngược chiểm 19,4%. Cứ tăng 1 tuổi làm giảm nguy cơ xuất hiện đau dội ngược sau phẫu thuật khoảng 3%
nữ giới có nguy cơ xuất hiện đau dội ngược cao gấp 2,7 lần so với nam giới (OR = 2,7
CI 95%: 2,54 - 2,86)
độ phức tạp của phẫu thuật (kết hợp cả tái tạo dây chằng chéo và sửa sụn chêm) có nguy cơ xuất hiện đau dội ngược gấp 1,23 lần so với tái tạo dây chằng chéo đơn thuần (OR = 1,23
CI 95%: 1,09 - 1,35). Đau dội ngược sau mổ phẫu thuật nội soi khớp gối có liên quan đến đặc điểm người bệnh cũng như tính chất phẫu thuật và ít liên quan đến phương pháp vô cảm.Rebound pain is a severe pain experienced following the cessation of anesthetic effects. The incidence and severity of rebound pain are influenced by various variables such as patient, surgical, and anesthetic factors. This study investigated the incidence of rebound pain in 108 patients who underwentarthroscopic knee surgery. A single-shot saphenous nerve block in the adductor canal with ropivacaine was administered for postoperative analgesia. Several factors associated with rebound pain were evaluated, including patient demographics (age, gender, body mass index), surgical factors (type of surgery, duration of surgery), and anesthesia-related factors. Results showed that the incidence of rebound pain was 19.4%. For every one-year increase in age, the risk of rebound pain decreased by approximately 3%
women had a 2.7-fold higher risk of rebound pain compared to men (OR = 2.7
95% CI: 2.54 - 2.86)
and complex surgeries (combining anterior cruciate ligament reconstruction and meniscus repair) were associated with a 1.23-fold higher risk of rebound pain compared to isolated anterior cruciate ligament reconstruction (OR = 1.23
95% CI: 1.09 - 1.35). Rebound pain was associated with patient characteristics and surgical factors, but was less associated with the type of regional anesthetic used.

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