与手术后使用阿片类救援药物相关的因素
Isabell M Meier1, Marie Eikemo2,3, Martin Trøstheim2,3
1Department of Physics and Computational Radiology, Oslo University Hospital, Oslo, Norway i.m.meier@psykologi.uio.no.
Regional anesthesia and pain medicine
|July 21, 2023
概括
手术后的阿片类药物缓解疼痛管理减少了救援阿片类药物的使用. 手术前的慢性疼痛和更高的疼痛严重程度是需要救援药物的关键预测因素,但长期使用阿片类药物仍然很低.
科学领域:
- 疼痛管理 疼痛管理
- 药理学 药理学是指药理学的学科.
- 公共卫生 公共卫生
背景情况:
- 手术后接触阿片类药物是持续使用阿片类药物的危险因素.
- 了解家庭救援阿片类药物使用对于开发有效的疼痛管理策略至关重要.
- 这项研究考察了在门诊手术后的阿片类药物节约背景下,救援阿片类药物的使用.
研究的目的:
- 描述在门诊手术后的最初几天在家中使用阿片类救援药物的情况.
- 识别与出院后需要救援阿片类药物相关的风险因素.
- 评估阿片类药物节约方法在预防长期阿片类药物使用方面的有效性.
主要方法:
- 对270名接受门诊手术的患者进行了观察性研究.
- 疼痛管理包括NSAIDs和有限的氧化 (5毫克) 作为救援止痛药.
- 对救援阿片类药物使用的风险因素在使用和不使用阿片类药物的患者之间进行了比较.
主要成果:
- 只有35%的患者在出院后1-2天使用了救援阿片类药物.
- 服用阿片类药物的患者患上手术前慢性疼痛的比率更高 (74%对48%) 和疼痛严重程度更高.
- 在康复室内服用阿片类药物是家庭救援药物使用的最强预测因素.
结论:
- 救援阿片类药物使用的风险因素反映了持续使用阿片类药物的风险因素 (例如,以前的慢性疼痛,疼痛严重程度).
- 研究结果支持以患者为中心的护理策略,针对这些风险因素.
- 在预防广泛的慢性阿片类药物使用方面,片节约术后护理似乎是有效的.
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