美国足部外科医生手术后多模式止痛药处方实践:2019-2020年全国调查
Brandon M Brooks1,2, Reed W R Bratches1, Ashley M Nettles2
1*The Dartmouth Institute, Hanover, NH.
Journal of the American Podiatric Medical Association
|September 17, 2023
概括
经验较少的足部外科医生更有可能使用抗药来治疗手术后的疼痛. 多种类型的止痛药可以减少阿片类药物的剂量,帮助当前的疼痛协议.
科学领域:
- 足部外科手术 足部外科手术
- 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:
- 手术是阿片类药物未使用阿片类药物患者阿片类药物启动的主要设置.
- 了解足部外科医生的疼痛管理实践对于完善阿片类药物处方协议至关重要.
- 这项研究研究了外科医生人口统计和多式联络止痛药处方之间的关系.
研究的目的:
- 为了确定与他们的术后多式止痛药处方实践相关的足部外科医生的人口特征.
- 探索多年实践与使用非类固醇抗炎药物,区域神经阻塞和抗药物的相关性.
- 为了确定多模式止痛药对处方阿片类药物剂量单位的影响.
主要方法:
- 一个匿名的在线问卷,包含患者情景和人口统计学部分,被分配给860名足部外科医生.
- 使用多种后勤回归模型来评估处方者特征与使用特定止痛补充剂之间的关联.
- 多重线性回归模型确定了多模式止痛药处方习惯和处方阿片类药物剂量单位之间的关联.
主要成果:
- 实践5年或更少的外科医生与15年以上经验的外科医生相比,使用抗药的几率明显更高.
- 多年的实践已经成为一个统计学上显著的变量,在多个场景中影响了止痛药的处方.
- 大约三分之一的外科医生报告在所有场景中使用非阿片类和阿片类止痛药的组合.
结论:
- 经验较短的足部外科医生显示,在多模式止痛治疗中,处方抗药的几率增加.
- 持续使用多模式止痛药与处方阿片类药物剂量单位的减少相关.
- 多模式止痛策略可以作为足部外科手术中现有的术后疼痛管理协议的宝贵补充.
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