人工尿道管放置后的无阿片类排泄不会显著增加医疗保健系统负担
John Myrga1, Roger Klein1, Robin Vasan1
1University of Pittsburgh Medical Center Department of Urology, Pittsburgh, Pennsylvania.
Urology practice
|December 29, 2023
概括
在人工泌尿关手术后,没有阿片类药物的患者的出院并没有增加医疗保健的使用. 这种无阿片类药物策略可以减少阿片类药物依赖的风险,而不会负担医疗保健服务.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 疼痛管理 疼痛管理
- 外科手术的结果
背景情况:
- 手术后的阿片类药物处方与增加阿片类药物依赖性有关.
- 对于各种泌尿外科手术,已经研究了无阿片类药物排泄策略,但它们对人工泌尿关节 (AUS) 放置的影响尚不清楚.
研究的目的:
- 为了评估无阿片类药物排泄在人工尿道关节植入后对医疗保健利用的影响.
- 将接受阿片类药物处方的患者与没有阿片类药物出院的患者之间的医疗保健系统相互作用进行比较.
主要方法:
- 一项回顾性研究比较了101名男性患者,这些患者接受了人工泌尿关节的安置或修改.
- 患者在出院后接受单独的乙氨基和布洛芬或与阿片类药物处方.
- 医疗保健的使用,包括办公室的通信,计划外的访问和急诊室的访问,被追踪了90天.
主要成果:
- 45%的患者在没有阿片类药物的情况下出院; 55%接受了阿片类药物.
- 两组之间在办公室沟通,计划外的办公室访问或急诊室访问方面没有发现显著差异.
- 人口统计,手术时间和手术前阿片类药物使用在各组中都相似.
结论:
- 人工泌尿关节的放置可以通过无阿片类药物排泄止痛疗法来管理.
- 省略阿片类药物不会增加外科人员或急诊室的负担.
- 无阿片类药物释放是不复杂的AUS手术的可行选择,以减轻与阿片类药物相关的发病率.
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