剖腹产后的阿片类药物:处方,患者使用,储存和处置做法
Peter Yi1, Savion Johnson2, Amanda Nelli3
1Assistant Professor of Anesthesiology, Department of Anesthesiology, Duke University, Durham, North Carolina.
Journal of opioid management
|June 3, 2023
概括
大多数接受剖腹产 (C-sections) 的女性不使用所有处方阿片类药物,导致过量服用药物. 个性化处方和非阿片类药物疼痛缓解可以减少未使用的剖腹产处方,并改善处置.
科学领域:
- 产科和妇科 产科和妇科
- 疼痛管理 疼痛管理
- 公共卫生 公共卫生
背景情况:
- 剖腹产 (C-sections) 是一种常见的分娩方法,经常需要阿片类药物处方来治疗术后疼痛.
- 剖腹产后的术后疼痛的管理通常涉及许多需要处方药的妇女的初始医疗接触.
- 剖腹产后的阿片类药物使用和处置做法是关键的公共卫生考虑因素,因为有可能滥用和社区过度使用.
研究的目的:
- 为了检查阿片类药物处方模式,消费和处理实践在C-sections康复的患者.
- 调查阿片类药物过量使用的流行情况以及患者对储存和处置的行为.
- 为优化对剖腹产疼痛管理的阿片类药物处方策略提供信息.
主要方法:
- 一项涉及154名在2017年1月至2018年7月期间在杜克大学卫生系统接受剖腹产的妇女的观察性研究.
- 进行了患者访谈,以评估阿片类药物处方细节,消费水平和药物处理 (储存/处置).
- 数据分析侧重于使用模式,包括没有使用任何,全部或部分处方阿片类药物的患者比例.
主要成果:
- 在77名参与者中,97%的人接受了氧化5毫克片用于剖腹产后疼痛.
- 大约三分之一的患者没有使用任何处方阿片类药物,三分之一使用所有阿片类药物,其余部分使用部分阿片类药物.
- 在分享初步调查结果后,提供者减少了处方数量,但相当一部分药丸仍未使用,很少需要重新填充. 只有1%的女性报告了安全的阿片类药物储存.
结论:
- 对处方阿片类药物的个性化方法,加上非阿片类止痛药的使用,可以有效地降低与过多的阿片类药物处方相关的风险.
- 研究结果强调需要更好的策略来管理剖腹产后的疼痛,解决患者需求和社区未使用药物的潜在问题.
- 优化阿片类药物处方可以减轻不当处置和过量的阿片类药物存在的问题,从而有助于公共卫生安全.
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