手术后的阿片类药物处方实践和患者在儿科整形外科手术中使用阿片类药物 患者
Marguerite A Mullen1, Kang Woo Kim1, Michaela Procaccini2
1Warren Alpert Medical School of Brown University.
Journal of pediatric orthopedics
|October 11, 2023
概括
儿童整形外科手术患者通常不会使用整个阿片类药物处方,许多人使用零剂量. 这项研究突出了阿片类药物处方和低使用率的差异,为更安全的做法提供了信息.
科学领域:
- 儿科整形外科 儿科整形外科
- 疼痛管理 疼痛管理
- 公共卫生 公共卫生
背景情况:
- 全国阿片类药物流行需要审查阿片类药物处方的必要性.
- 成人研究表明,患者往往不使用完整的阿片类药物处方;这种趋势在儿童中被怀疑.
- 关于手术后儿科阿片类药物使用的数据有限.
研究的目的:
- 调查儿科骨科手术患者的阿片类药物处方量和术后利用率.
- 为了确定影响阿片类药物处方和使用在这个人群中的因素.
主要方法:
- 确定了接受骨科手术的儿科患者 (18岁以下).
- 收集患者人口统计和阿片类药物处方数据.
- 通过日记或电话采访,通过日记或电话采访,对疼痛,阿片类药物使用和剩余剂量进行调查的父母/监护人.
- 使用威尔科克森等级和,t测试,皮尔森相关性和后勤回归分析数据.
主要成果:
- 收集了280名患者的处方数据;利用数据来自102.
- 上肢骨折接受的阿片类药物剂量较少 (P=0.036).
- 更高的BMI与更多的处方阿片类药物剂量相关 (R2=0.647,P<0.001).
- 平均阿片类药物使用率为22.37%; 50.6%使用零剂量.
- 96.2%使用阿片类药物≤5天;大多数家庭没有处理过剩的药物.
结论:
- 根据患者和程序的具体情况,阿片类药物处方存在显著差异.
- 儿科骨科患者的整体阿片类药物使用率较低,但有程序变化.
- 结果可以指导阿片类药物处方,并促进儿童患者的安全处置教育.
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