与手动全关节整形手术相比,在接受机器人辅助手术的患者中,改善了外科手术期间的麻醉剂使用模式
Graham B J Buchan1, Zachary Bernhard1, Christian J Hecht1
1Cleveland Clinic Orthopaedic and Rheumatologic Institute, 9500 Euclid Avenue, Cleveland, OH, 44195, USA.
Arthroplasty (London, England)
|November 4, 2023
概括
与手动THA相比,机器人辅助关节整形术 (RA-THA) 显著减少了阿片类药物缓解疼痛的需求. 这一发现支持更快的恢复和减少接受关节置换手术的患者的护理负担.
科学领域:
- 整形外科手术 整形外科手术
- 机器人在医学中的机器人
- 疼痛管理 疼痛管理
背景情况:
- 机器人辅助全关节整形术 (RA-THA) 提高了对手动THA (mTHA) 的acetabular cup定位精度.
- 对RA-THA和mTHA的最佳疼痛管理策略仍在研究中.
- 阿片类药物消费是评估外科手术期间疼痛控制的关键指标.
研究的目的:
- 为了比较光镜辅助的RA-THA和光镜辅助的mTHA之间的术后阿片类药物消耗.
- 为了评估直接前部方法全关节整形术的疼痛管理有效性.
- 分析阿片类药物使用在阿片类药物先验和阿片类药物耐受性患者群体.
主要方法:
- 对接受mTHA和RA-THA的患者进行回顾性队列分析.
- 总术后麻醉剂使用量以吗啡毫克相当量 (MME) 的比较.
- 基于先前阿片类药物和阿片类药物耐受性状态的分层分析.
主要成果:
- 在RA-THA队列中,术后阿片类药物使用总量 (103.7MME) 与mTHA (127.8MME) 相比显著降低.
- 在所有患者类型的RA-THA组中观察到较低的住院阿片类药物使用率.
- 两组之间在离院后使用阿片类药物方面没有发现显著差异.
结论:
- 与手动技术相比,基于光镜的RA-THA与手术后阿片类药物总体需求的减少有关.
- RA-THA可能有助于改善康复方案,并降低整体护理负担.
- 这些发现突出了RA-THA在术后疼痛管理和患者康复方面的潜在益处.
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