سامانه مدیریت نشریات علمی دانشگاه علوم پزشکی مشهد

ادیبی, دکتر پوریا, کلانی, نوید, رضوی, دکتر بی بی منا, مهرپور, دکتر سمیه, زارعی, دکتر طیبه, ملک‌شعار, دکتر مهرداد, زنبق, دکتر سمیرا, وطن‌خواه, دکتر مجید. (1401). روش‌های دارویی و غیردارویی کنترل درد در زنان تحت عمل جراحی سزارین: یک مطالعه مروری نقلی. , 25(7), 91-112. doi: 10.22038/ijogi.2022.21138
دکتر پوریا ادیبی; نوید کلانی; دکتر بی بی منا رضوی; دکتر سمیه مهرپور; دکتر طیبه زارعی; دکتر مهرداد ملک‌شعار; دکتر سمیرا زنبق; دکتر مجید وطن‌خواه. "روش‌های دارویی و غیردارویی کنترل درد در زنان تحت عمل جراحی سزارین: یک مطالعه مروری نقلی". , 25, 7, 1401, 91-112. doi: 10.22038/ijogi.2022.21138
ادیبی, دکتر پوریا, کلانی, نوید, رضوی, دکتر بی بی منا, مهرپور, دکتر سمیه, زارعی, دکتر طیبه, ملک‌شعار, دکتر مهرداد, زنبق, دکتر سمیرا, وطن‌خواه, دکتر مجید. (1401). 'روش‌های دارویی و غیردارویی کنترل درد در زنان تحت عمل جراحی سزارین: یک مطالعه مروری نقلی', , 25(7), pp. 91-112. doi: 10.22038/ijogi.2022.21138
ادیبی, دکتر پوریا, کلانی, نوید, رضوی, دکتر بی بی منا, مهرپور, دکتر سمیه, زارعی, دکتر طیبه, ملک‌شعار, دکتر مهرداد, زنبق, دکتر سمیرا, وطن‌خواه, دکتر مجید. روش‌های دارویی و غیردارویی کنترل درد در زنان تحت عمل جراحی سزارین: یک مطالعه مروری نقلی. , 1401; 25(7): 91-112. doi: 10.22038/ijogi.2022.21138

روش‌های دارویی و غیردارویی کنترل درد در زنان تحت عمل جراحی سزارین: یک مطالعه مروری نقلی

مجله زنان، مامایی و نازایی ایران
دوره 25، شماره 7، مهر 1401، صفحه 91-112    اصل مقاله (1000.84 K)
نوع مقاله: مروری
شناسه دیجیتال (DOI): 10.22038/ijogi.2022.21138
نویسندگان
دکتر پوریا ادیبی1؛ نوید کلانی2؛ دکتر بی بی منا رضوی1؛ دکتر سمیه مهرپور3؛ دکتر طیبه زارعی1؛ دکتر مهرداد ملک‌شعار1؛ دکتر سمیرا زنبق1؛ دکتر مجید وطن‌خواه* 4
1استادیار گروه بیهوشی، مرکز تحقیقات بیهوشی، مراقبت ویژه و کنترل درد، دانشکده پزشکی، دانشگاه علوم پزشکی هرمزگان، بندرعباس، ایران.
2مربی گروه بیهوشی، مرکز تحقیقات بیهوشی و کنترل درد، دانشکده پزشکی، دانشگاه علوم پزشکی جهرم، جهرم، ایران.
3استادیار گروه بیهوشی، دانشکده پزشکی، دانشگاه علوم پزشکی قم، قم، ایران.
4دانشیار گروه بیهوشی، مرکز تحقیقات بیهوشی، مراقبت ویژه و کنترل درد، دانشکده پزشکی، دانشگاه علوم پزشکی هرمزگان، بندرعباس، ایران.
چکیده
مقدمه: امروزه سزارین یکی از اعمال جراحی رایج مامایی و یکی از شایع‌ترین اعمال جراحی در زنان می‌باشد. روش‌های دارویی و غیر‌دارویی زیادی در عمل جراحی سزارین برای کنترل درد مورد استفاده قرار می‌گیرد. مطالعه مروری حاضر با هدف بررسی روش‌های دارویی و غیردارویی کنترل درد در زنان تحت عمل جراحی سزارین انجام شد.
روش‌کار: در این مطالعه مرور نقلی جهت یافتن مطالعات مرتبط، پایگاه‌های اطلاعاتی فارسی زبان SID، Magiran و Google Scholar با کلید واژگان فارسی: روش‌های دارویی، غیر‌دارویی، کنترل درد، درد و سزارین مورد جستجو قرار گرفتند. معیارهای ورود مقالات شامل: مقالات فارسی که فقط بر روی درد در زنان تحت عمل سزارین به دو روش بیهوشی عمومی و بی‌حسی اسپاینال پرداخته بودند و همچنین مقالات پژوهشی اصیل و از نوع کارآزمایی بالینی بود و مطالعاتی که در عنوان آنها درد در سزارین به‌کار رفته بود.
یافته­ ها: در این مطالعه 74 مقاله در دو دسته روش‌های دارویی و غیر‌دارویی مورد بررسی قرار گرفت. داروهای مورد بررسی در روش‌های دارویی شامل: مخدرها، ضدالتهاب‌های غیراستروئیدی، بی‌حس‌کننده‌های موضعی، تنظیم‌کننده سیکل‌های خواب و بیداری، هوشبرهای وریدی، بنزودیزپین‌ها، آنتی‌فیبرینولیتیک، آنتاگونیست NMDA و آنتی‌دوپامنیرژیک و روش‌های غیر‌دارویی شامل: رایحه درمانی، موسیقی‌درمانی، تمرین‌های ورزشی، رفلکسولوژی پا، اوریکلوتراپی، ماساژ، لمس‌درمانی، باز ماندن صفاق، تماس کانگرویی، آرام‌سازی بنسون و تحریک الکتریکی عصب از طریق پوست بود.
نتیجه­ گیری: مطالعه حاضر مروری کلی برای گردآوری تمام روش‌های دارویی و غیر‌دارویی کنترل درد بعد از سزارین بود که در غالب مطالعات بررسی شده، تأثیر‌گذاری به‌سزای این روش‌ها گزارش شده بود؛ با این‌حال تعیین خطرات احتمالی و یا رتبه‌بندی مداخلات ممکن نبوده و نیازمند مطالعات بیشتری است، اما پزشک معالج می‌تواند بر اساس شرایط بیمار از هر کدام از این روش‌ها استفاده کند.
کلیدواژه‌ها
درد بعد از عمل؛ روش‌های دارویی؛ روش‌های غیردارویی؛ سزارین
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