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Postoperative Pain Following Bariatric Surgery: Correlation Between Intensity and Clinical-Surgical Variables

机译：肥胖手术后术后疼痛：强度与临床外科变量之间的相关性

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Purpose: To quantify and analyze the relation between the intensity of pain and clinical-surgical variables in the immediate postoperative period of patients submitted to laparoscopic bariatric surgery. Methods: Prospective observational study, done with obese patients submitted to laparoscopic bariatric surgery who had presented intense pain according to the visual analog scale and also postoperative nausea and vomiting in two distinct moments: in the postanesthesia care unit (PACU) and at the first postoperative day (1st POD). Results: The sample was predominantly female, body mass index >= 40, age between 31 and 45 years, nonsmoker nor alcoholic. It was observed that there was a significant reduction from intense pain (PACU) to moderate and mild (1st POD). A difference was observed in the intensity of pain between patients without surgical records (41.0%) and those with no history of postoperative acute pain (34.1%). There was no statistical significance in the correlation of surgical variables and the prevalence of postoperative intense pain. The correlation between high anxiety levels with surgeries and postoperative pain was verified. Conclusion: Intense pain was observed in the PACU. There was a significant reduction to moderate and mild in the 1st POD. Previous surgeries and history of postoperative acute pain were identified as protection factors for postoperative pain.
机译：目的：量化和分析腹腔镜乳颅外科术后术后时期疼痛和临床外科变异强度的关系。方法：前瞻性观察研究，用肥胖患者提交给腹腔镜肥胖症手术，根据视觉模拟规模呈现强烈疼痛，也是在两个不同时刻的术后恶心和呕吐：在破旧的护理单位（PACU）和第一次术后天（第一个POD）。结果：样品主要是女性，体重指数> = 40，年龄在31至45岁之间，非商口植物和酒精。观察到，从强烈的疼痛（PACU）中的显着减少到中度和温和（第1 POD）。在没有手术记录（41.0％）和没有术后急性疼痛病史的患者之间的疼痛强度，观察到差异（34.1％）。手术变量的相关性和术后强烈疼痛的患病率没有统计学意义。验证了手术和术后疼痛的高焦虑水平与术后疼痛之间的相关性。结论：PACU中观察到强烈疼痛。在第一个豆荚中有显着减少到中度和温和。以前的手术和术后急性疼痛的历史被确定为术后疼痛的保护因子。

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