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在关节镜旋转手套修复后立即增加的海骨腔压力并没有显著影响术后的阿片类药物消费
Derrick M Knapik1,2,3, Joseph E Tanenbaum3, Michael J Salata1,2,3
1Department of Orthopaedic Surgery, University Hospitals Cleveland Medical Center, Cleveland, Ohio, U.S.A.
Arthroscopy, sports medicine, and rehabilitation
|July 26, 2023
概括
这项研究发现,在旋转手腕手术后,deltoid肌肉压力变化和阿片类药物使用之间没有联系. 骨髓腔压力没有预测在关节镜旋转手套修复后需要止痛药的情况.
科学领域:
- 整形外科手术 整形外科手术
- 疼痛管理 疼痛管理
- 生物医学工程 生物医学工程
背景情况:
- 旋转手套修复是一种常见的骨科手术.
- 包括阿片类药物消费在内的术后疼痛管理是一个重大问题.
- 带腔压力可能会影响术后疼痛和阿片类药物需求.
研究的目的:
- 为了研究状体区压力变化与术后阿片类药物消费之间的关联.
- 为了确定甲状腺腔压力是否预测疼痛药物需要在关节镜旋转手套修复后长达14天.
主要方法:
- 对113名接受初级双排关节镜旋转手套修复 (ARCR) 的患者进行前性队列研究.
- 在手术前和关闭后测量前部,侧部和后部状体区的压力.
- 在术后14天记录每日阿片类药物消耗和疼痛评分.
主要成果:
- 在107名符合条件的患者中,有74人 (69%) 返回了疼痛日记.
- 在增加的状体区压力 (个人或整体) 和阿片类药物消费 (吗啡等价物) 之间没有发现显著的关联.
- 患者的年龄和性别与压力变化或阿片类药物使用没有显著的相关性.
结论:
- 在ARCR之后,状体腔压力的增加与术后阿片类药物消费没有显著的相关性.
- 骨腔压力监测可能不是一个可靠的预测器的疼痛管理需要在直接的术后期.
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