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首页> 外文期刊>Journal of cardiac surgery. >Skeletonization technique in coronary artery bypass graft surgery reduces the postoperative pain intensity and disability index
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Skeletonization technique in coronary artery bypass graft surgery reduces the postoperative pain intensity and disability index

机译：冠状动脉搭桥术中的骨骼化技术可降低术后疼痛强度和残疾指数

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Background and Aim Benefits of the skeletonized internal thoracic artery (ITA) include increased graft flow, increased graft length, and reduced incidence of sternal complications. We conducted a randomized, double-blinded comparison of skeletonized versus pedicled ITA to assess the differences in pain intensity and extent of disability between the two types of harvesting procedures at one and three months follow-up. Methods A total of 50 patients were included in our study. Twenty-five patients had undergone skeletonized grafting while the other half had undergone pedicled grafting. The patients were evaluated for their pain at one and three months postoperatively. Extent of disability was measured via Pain Disability Index and intensity of pain was measured via Visual Analogue Scale (VAS). The patients were also questioned about the details of their pain using Short Form McGill Pain Questionnaire. Results In the first month, the mean pain intensity measured through VAS was 30.4 ± 4.0 and 55.0 ± 5.7 mm in skeletonized and pedicle group, respectively. The pedicled group had significantly higher scores measured by all three scales at both one- and three-month intervals (p-values < 0.0001). Conclusions Our results indicate that skeletonization of ITA significantly reduces postcoronary artery bypass graft surgery pain at both one- and three-month intervals. Long-term clinical trials involving larger sample sizes should be conducted to fully confirm the benefits of the skeletonization technique.
机译：背景和目的骨架化的胸腔内动脉（ITA）的好处包括移植物流量增加，移植物长度增加以及胸骨并发症的发生率降低。我们对骨骼化和带蒂的ITA进行了随机，双盲比较，以评估在1个月和3个月的随访中两种类型的收获程序在疼痛强度和残疾程度方面的差异。方法本研究共纳入50例患者。 25例患者进行了骨骼移植，而另一半患者进行了椎弓根移植。术后一三个月对患者进行疼痛评估。通过疼痛残疾指数测量残疾程度，通过视觉模拟量表（VAS）测量疼痛强度。还使用“短型麦吉尔疼痛问卷”向患者询问了有关疼痛的详细信息。结果在第一个月，骨骼组和椎弓根组通过VAS测量的平均疼痛强度分别为30.4±4.0和55.0±5.7 mm。带蒂组在三个月的时间间隔和一个月和三个月的时间里均得分较高（p值<0.0001）。结论我们的结果表明，ITA骨架化可在1个月和3个月的间隔内显着降低冠状动脉旁路移植术的手术疼痛。应该进行涉及较大样本量的长期临床试验，以充分证实骨架化技术的益处。

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