痔切除术后患者疼痛管理的最佳证据总结

李怡璇; 王秋爽; 温丽辉; 薄灵芳; 陈祺; 冯江雪

doi:10.7619/jcmp.20233698

痔切除术后患者疼痛管理的最佳证据总结

Best evidence summary of pain management for patients after hemorrhoidectomy

摘要

摘要:
目的对痔切除术后患者疼痛管理的相关文献进行检索、评估，总结最佳证据。
方法根据6S证据模型，采用计算机检索国内外相关数据库中痔切除术后疼痛的相关文献，包括指南、专家共识、系统评价、荟萃分析、随机对照试验(RCT)，时间为建库至2023年3月12日。依据相应文献评价标准，对符合文献评价标准的证据进行质量评价，并结合专家意见加以提炼归纳。
结果共收录文献16篇，包含指南1篇、专家共识6篇、系统评价8篇、RCT 1篇; 证据内容包括疼痛的识别与评估、药物管理措施、中医疗法、围术期健康教育，共提取21条证据。
结论痔切除术后应根据患者的病情及临床状况制订最高效的疼痛管理方案，以减轻患者术后疼痛。

Abstract:
Objective To retrieve and evaluate relevant literatures on pain management for patients after hemorrhoidectomy and summarize the best evidence.
Methods Based on the 6S evidence model, computer-based searches were conducted in relevant domestic and foreign databases for literatures related to pain after hemorrhoidectomy, including guidelines, expert consensus, systematic reviews, meta-analysis, and randomized controlled trial (RCT), from the establishment of the databases to March 12, 2023. The quality of evidence meeting the evaluation criteria was evaluated according to the corresponding literature evaluation criteria, and was summarized in combination with expert opinions.
Results A total of 16 literatures were included (1 guideline, 6 expert consensus, 8 systematic reviews, and 1 RCT); the evidence included pain identification and assessment, drug management measures, traditional Chinese medicine therapy, and perioperative health education, eventually 21 pieces of evidence were extracted.
Conclusion After hemorrhoidectomy, the most effective pain management plan should be developed based on the patient's condition and clinical status to relieve postoperative pain.

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