在整形外科手术后,用于肌肉骨疼痛管理的新技术:系统审查
1Orthopedic Surgery, College of Medicine, King Faisal University, Al-Ahsa 31982, Saudi Arabia.
Life (Basel, Switzerland)
|December 23, 2023
概括
外围神经阻塞和局部麻醉透显著改善了骨科手术后的术后疼痛控制,减少了阿片类药物的使用. 对于其他创新的疼痛管理技术还需要进一步的研究.
科学领域:
- 整形外科手术 整形外科手术
- 疼痛管理 疼痛管理
- 麻醉学 麻醉学
背景情况:
- 骨科手术后的术后疼痛管理往往是不充分的.
- 多模式止痛是标准的,但可以改进.
- 正在探索创新的技术来增强疼痛控制.
研究的目的:
- 系统地审查骨科手术中术后疼痛控制的创新方法的证据.
- 为了确定超越传统止痛药的有效策略.
- 突出疼痛管理未来研究的领域.
主要方法:
- 15个随机对照试验和比较研究的系统综述.
- 对外围神经阻塞,局部麻醉透,冷藏治疗,TENS和辅助药物的评估.
- 对研究结果进行主题分析.
主要成果:
- 外围神经阻塞和局部麻醉透表明疼痛得分和阿片类药物消耗减少.
- 口服多模式药物在阿片类药物节约疗法中显示出潜在的潜力.
- 像冷疗法这样的辅助疗法需要进一步的研究.
结论:
- 外周神经阻塞和局部麻醉透对于术后骨科疼痛是有效的.
- 有关比较有效性和最佳组合策略的知识差距存在.
- 需要高质量的RCT来推进基于证据的多模式疼痛管理.
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