手术前的 gabapentin 或手术内的 ketorolac 是否会影响关节镜术后的术后疼痛?
Alex M Meyer1, Krit Petrachaianan1, Natalie A Glass1
1Department of Orthopedics & Rehabilitation, University of Iowa, 200 Hawkins Drive, Iowa City, IA 52242, USA.
Journal of hip preservation surgery
|January 1, 2024
概括
手术前的 gabapentin 和手术内的 ketorolac 并没有减少手术后的疼痛,也没有加快关节镜术后的分泌. 这项研究发现,接受这些药物的患者的疼痛评分或恢复时间没有显著差异.
科学领域:
- 整形外科手术 整形外科手术
- 麻醉学 麻醉学
- 疼痛管理 疼痛管理
背景情况:
- 有效的术后止痛对于患者的满意度和骨科手术后的短期结果至关重要.
- 关节透镜对于股骨骨的入,往往需要优化疼痛管理策略.
- gabapentin 和 ketorolac 通常被认为是因为它们在外科手术期间的潜在止痛作用.
研究的目的:
- 为了评估手术前 gabapentin 和手术内 ketorolac 对术后疼痛的影响.
- 为了确定这些药物是否会影响关节透视术后排出的时间.
- 分析对各种疼痛指标和恢复里程碑的影响.
主要方法:
- 对409名接受关节关节整形术和/或囊整形术的患者进行了回顾性审查.
- 对视觉模拟尺度 (VAS) 疼痛评分,阿片类药物消耗 (MMEs) 和恢复时间 (PACU,出院) 的分析.
- 使用t测试和通用线性模型进行统计比较,控制手术和麻醉变量.
主要成果:
- 无论是手术前的 gabapentin 还是手术期间的 ketorolac 在任何测量的 VAS 疼痛评分中都没有显著差异.
- 这些药物与降低出院时间之间没有发现显著的关联.
- 与男性相比,女性报告了较高的术后疼痛得分,无论药物使用情况如何.
结论:
- 手术前的 gabapentin 和手术内的 ketorolac 似乎没有改善疼痛控制或加快关节镜术后的分泌.
- 可能需要进一步的研究来确定更有效的止痛策略,为这个患者群体.
- 性别是影响关节镜术患者手术后疼痛感知的一个因素.
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