Prospective analysis of convalescence and early pain after uncomplicated laparoscopic fundoplication
Prospective analysis of convalescence and early pain after uncomplicated laparoscopic fundoplication
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DOI：
10.1002/bjs.4720
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发表时间：
2004-11-01
影响因子：
9.6
通讯作者：
Rosenberg, J
中科院分区：
文献类型：
--
作者：
Bisgaard, T;Stockel, M;Rosenberg, J
背景：本研究的目的是确定限制短期恢复期的因素，并描述腹腔镜胃底折叠术后所经历的疼痛。方法：这项前瞻性研究包括 60 名连续接受简单腹腔镜尼森胃底折叠术治疗胃食管反流病的患者。建议患者术后静养2天。在胃底折叠术后的第一周以及第 10 天和第 30 天，每天记录恢复期、吞咽困难、疲劳、恶心、呕吐和不同疼痛成分的持续时间。 结果：39 名患者中位休息 13 天（范围 3-41）天，60 名患者中位休息 4 天（范围 1-22）天。疼痛、疲劳和术前制定的计划是导致康复时间延长的主要原因。大约 30-40% 的患者在研究期间报告有中度或重度吞咽困难。术后 6 天疲劳评分显着增加（P
Background: The aim of this study was to define factors that limit a short period of convalescence and to characterize the pain experienced after laparoscopic fundoplication.Methods: This prospective study included 60 consecutive patients who underwent uncomplicated laparoscopic Nissen fundoplication for gastro-oesophageal reflux disease. Patients were recommended to convalesce for 2 days after operation. Duration of convalescence, dysphagia, fatigue, nausea, vomiting and different pain components were registered daily during the first week and on days 10 and 30 after fundoplication.Results: Thirty-nine patients took a median of 13 (range 3-41) days off work and 60 stayed away from recreational activity for a median of 4 (range 1-22) days. Pain, fatigue and plans made before operation were the main contributors to prolonged convalescence. Some 30-40 per cent of the patients reported moderate or severe dysphagia during the study period. Fatigue scores were significantly increased for 6 days after surgery (P