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2006年至2018年,丹麦与关节镜膝关节手术有关的阿片类药物处方在丹麦
Jonas Bloch Thorlund1,2, Matilde Lundberg2, Jindong Ding Petersen2,3,4
1Department of Sports Science and Clinical Biomechanics, University of Southern Denmark.
Danish medical journal
|August 25, 2023
概括
从2006年到2018年,膝关节手术后的阿片类药物处方增加了,7%的患者在七天内接受了它们. 然而,在此期间,平均发放量有所下降.
科学领域:
- 整形外科手术 整形外科手术
- 疼痛管理 疼痛管理
- 公共卫生 公共卫生
背景情况:
- 在美国,在关节镜膝关节手术后,阿片类药物处方很常见.
- 在2006年至2018年期间,在丹麦进行关节镜膝关节手术后,研究了阿片类药物分配模式.
研究的目的:
- 分析各种关节镜膝关节手术后阿片类药物开放的趋势.
- 评估13年间手术后处方阿片类药物的发生率和数量的变化.
主要方法:
- 利用丹麦的登记册来识别从2006年至2018年接受关节镜膝关节手术的患者 (≥15岁) (ACL重建,阴茎手术,软骨切除,肌切除,诊断性关节镜).
- 在出院后七天内追踪阿片类药物 (口服吗啡等价物) 的发放.
主要成果:
- 7% (15,263/218,940) 的患者在出院后七天内接受了阿片类药物.
- 在所有手术中,阿片类药物开放的发生率都增加了,特别是ACL重建 (从9%增加到28%).
- 在七天内平均分发的阿片类药物量减少了70.0 OMEQ.
结论:
- 在接受关节镜膝关节手术的患者中,很大一部分在出院后接受阿片类药物治疗.
- 虽然阿片类药物开放的发生率上升,但在2006年至2018年期间,处方的平均数量下降.
- 特拉马多尔和氧化是最常发行的阿片类药物.
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