在中国的术后与疼痛相关的结果和术后疼痛管理:基于人口的研究
Yanhong Liu1,2, Saisong Xiao2,3, Huikai Yang1,4
1Department of Anesthesiology, The First Medical Center of Chinese PLA General Hospital, Beijing, 100853, China.
The Lancet regional health. Western Pacific
|November 6, 2023
概括
近一半的中国手术患者在手术后经历中度至重度的疼痛. 高水平的阿片类药物使用和低的神经阻塞率表明,中国需要改进急性术后疼痛管理策略.
科学领域:
- 麻醉学 麻醉学
- 疼痛医学 医学 疼痛医学
- 医疗保健的质量 医疗保健的质量
背景情况:
- 术后疼痛是影响患者满意度和康复的重大挑战.
- 它与慢性疼痛和长期阿片类药物依赖有关.
- 缺乏对中国手术后疼痛管理质量的全面评估.
研究的目的:
- 评估中国急性术后疼痛管理的质量.
- 分析疼痛严重程度,管理策略和患者满意度.
- 确定手术后疼痛控制改善的领域.
主要方法:
- 使用来自中国急性术后疼痛研究 (CAPOPS) 注册表 (2019年9月-2021年8月) 的数据进行的横截面研究.
- 包括26,193名成年患者 (≥18岁).
- 术后第一天的自我报告问卷评估疼痛,不良事件和对疼痛管理的满意度.
主要成果:
- 48.7%的患者在术后第一天报告中度至重度疼痛.
- 疼痛的严重程度与较差的恢复和较低的患者满意度相关.
- 系统性阿片类药物使用率高 (68%),主要是通过静脉注射患者控制的止痛药 (89%),而神经阻塞利用率低.
结论:
- 在中国,很大一部分患者经历了中度至重度的术后疼痛.
- 目前的疼痛管理严重依赖于全身阿片类药物,神经阻断的利用不足.
- 需要加强战略,以优化中国的急性术后疼痛管理.
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