在整个儿科 laparoscopic 尾切除过程中的疼痛管理:系统性审查
Ethan Slouha1, Brandon Krumbach1, Jheanelle A Gregory1
1Anatomical Sciences, St. George's University School of Medicine, St. George's, GRD.
Cureus
|December 29, 2023
概括
这项研究审查了儿童腹腔镜尾切除术后的疼痛管理,发现非阿片类止痛药和神经阻塞可以减少阿片类药物的使用,并提高患者的满意度. 需要进一步的研究,以尽量减少阿片类药物依赖.
科学领域:
- 儿科手术 儿科手术
- 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:
- 与阿片类药物相关的死亡事件是一个主要的公共卫生问题.
- 在儿科腹腔镜尾切除术 (LA) 后,有效的疼痛管理至关重要.
- 减少儿童疼痛管理中的阿片类药物依赖是优先考虑的.
研究的目的:
- 评估疼痛缓解剂使用趋势和儿童LA后的患者满意度.
- 探索减少该人口中阿片类药物依赖的策略.
主要方法:
- 对19项符合PRISMA指南的同行评审研究 (2003-2023) 的系统审查.
- 包括的研究集中在接受LA的儿科患者 (18岁以下) 上.
- 分析了各种疼痛管理策略:非阿片类止痛药,神经阻塞,伤口透,患者控制的止痛 (PCA) 和非药物干预.
主要成果:
- 通过LA观察到术后止痛药需求的减少,特别是使用非阿片类药物和新技术.
- 儿科患者使用 gabapentin 与较低的阿片类药物消费,较短的住院时间和高满意度相关.
- 在某些情况下,阿片类药物依赖仍然存在,特别是在需要吗啡的腹膜炎患者中.
结论:
- 儿科后LA的疼痛管理是复杂的,涉及多模式的方法.
- 非阿片类药物止痛药,神经阻断剂和替代方法在减少阿片类药物使用和改善结果方面显示出有希望.
- 进一步的研究和标准化的协议对于优化疼痛管理和减轻阿片类药物相关风险至关重要.
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