在头内分泌手术后术后使用阿片类药物:一项多中心前性研究
Amr F Hamour1, Mirko Manojlovic-Kolarski1, Antoine Eskander1,2,3
1Department of Otolaryngology - Head & Neck Surgery University of Toronto Toronto Ontario Canada.
Laryngoscope investigative otolaryngology
|June 21, 2023
概括
头内分泌手术后过度处方阿片类药物很普遍,大多数处方药片未使用. 改善患者咨询和使用非阿片类药物止痛药可以减少阿片类药物的使用.
科学领域:
- 内分泌学 在内分泌学.
- 疼痛管理 疼痛管理
- 手术瘤学手术瘤学
背景情况:
- 阿片类药物滥用是北美重要的公共卫生问题.
- 过度处方阿片类止痛药有助于广泛滥用.
- 头内分泌手术代表了阿片类药物处方的常见领域.
研究的目的:
- 在头内分泌手术中量化阿片类药物过度处方率.
- 为了评估术后疼痛经历和止痛药的需求.
- 评估术前因素对阿片类药物使用的影响,包括患者咨询和非阿片类药物止痛.
主要方法:
- 一项前性研究,涉及连续接受头内分泌手术的患者.
- 从2020年1月到2021年12月在加拿大四家医院收集的数据.
- 利用图表审查,术后疼痛跟踪,以及咨询,局部麻醉和药物处置的患者调查.
主要成果:
- 在125名分析患者中,79.5%的处方阿片类药片未被使用.
- 不充分的患者咨询与较高的阿片类药物使用有关 (57.2%对37.8%).
- 术前局部麻醉与不太严重的疼痛和减少止痛药的使用相关.
结论:
- 在头部和部内分泌手术后,阿片类药物过度处方是常见的.
- 有效的患者咨询对于减少对麻醉药物的依赖至关重要.
- 非阿片类药物止痛和外科手术期间局部麻醉是最大限度地减少阿片类药物消费的关键策略.
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