术后使用阿片类药物治疗在内镜袖胃整形术后
Benjamin M Moy1, Sarah Volk2, Blair Richards3
1University of Michigan Medical School, Ann Arbor, Michigan, USA.
The American journal of gastroenterology
|January 18, 2024
概括
大多数接受内镜袖胃形成手术 (ESG) 的患者需要术前期的阿片类药物,但不到20%的患者在术后需要它们. 个性化疼痛管理是预防ESG后阿片类药物过度使用的关键.
科学领域:
- 胃肠病学 胃肠病学
- 腹部外科 腹部外科
- 疼痛管理 疼痛管理
背景情况:
- 没有确立的指导方针存在于内镜袖胃形成术 (ESG) 后的周围手术和手术后疼痛管理.
- 这一差距凸显出需要调查ESG患者的阿片类药物使用模式.
研究的目的:
- 在接受ESG的患者中确定术前和术后阿片类药物治疗的必要性.
- 在ESG之后建立疼痛管理策略的基线.
主要方法:
- 连续接受ESG治疗的患者的回顾性分析.
- 主要结局:需要术后门诊阿片类药物治疗的患者百分比.
- 二次结局:术前疼痛药物细节和术后疼痛得分.
主要成果:
- 在67名患者中,58.2%需要术前阿片类药物 (平均剂量为12.3±8.4MME).
- 17.9%的患者在手术后被处方家庭阿片类药物.
- 超过三分之一的患者报告说没有术后疼痛.
结论:
- 在ESG后的术后阿片类药物治疗应根据个体患者的需求量身定制.
- 个性化的方法可以帮助减少阿片类药物过度处方和过度使用的风险.
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