自由与受限制的阿片类药物处方在中泌尿道链链数据集之后
Brianne M Morgan1, Jaime B Long1, Sarah S Boyd1
1Department of Obstetrics and Gynecology, Penn State Health Milton S. Hershey Medical Center, 500 University Drive, Hershey, PA 17033, USA.
Data in brief
|June 29, 2023
概括
这项研究比较了在中尿道吊带手术后的标准与受限制的阿片类药物处方. 限制处方有效管理疼痛和满意度,同时减少阿片类药物使用,证明了手术后疼痛控制的安全替代方案.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 女性盆腔医学和重建性手术
- 疼痛管理 疼痛管理
- 药理学 药理学是指药理学的学科.
背景情况:
- 手术后的阿片类药物处方需要平衡患者的疼痛控制与高风险药物的风险.
- 有限的数据存在于最优的阿片类药物处方策略中尿道链 (MUS) 程序后.
- 这项研究解决了在泌尿外科手术中需要基于证据的阿片类药物处方的需求.
研究的目的:
- 为了评估疼痛控制,患者满意度和阿片类药物利用在妇女接受隔离MUS.
- 为了比较标准的阿片类药物处方方案与受限制的,仅供患者要求的治疗方案.
- 为了确定受限制的阿片类药物处方是否与术后疼痛的标准处方不逊色.
主要方法:
- 未来的,随机的,开放的标签,非劣等性临床试验.
- 接受隔离MUS的82名妇女被随机分配到标准 (10片氧化片) 或受限制 (根据要求) 的阿片类药物处方中.
- 通过日常日记和处方药监测计划 (PDMP) 查询收集的数据.
主要成果:
- 两组都报告了类似的疼痛控制和对疼痛管理的满意度.
- 受限组的阿片类药物使用率和处方填充率明显较低.
- 两组之间手术后第一天的平均疼痛分数没有显著差异.
结论:
- 限制术后阿片类药物处方是隔离MUS手术后的一种安全有效的策略.
- 这种方法可以减少阿片类药物的使用,而不会影响患者的疼痛控制或满意度.
- 这些发现支持在泌尿后科手术中转向更明智的阿片类药物处方.
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