在门诊手部和上肢手术后,足够控制疼痛的预测因素
Colin Swigler1, Keegan M Hones1, Joseph J King2
1Department of Orthopaedic Surgery and Sports Medicine, University of Florida, 3450 Hull Road, Gainesville, FL, 32611, USA.
概括
患者的生活质量和烟草使用影响手术后的疼痛控制. 优化这些因素可能会减少阿片类药物处方和提高患者安全.
科学领域:
- 整形外科手术 整形外科手术
- 疼痛管理 疼痛管理
- 公共卫生 公共卫生
背景情况:
- 阿片类药物流行需要谨慎的处方做法,特别是在门诊手术后.
- 关于手术后的疼痛控制和处方习惯的数据有限.
研究的目的:
- 确定选择性门诊手和上肢手术后足够的术后疼痛控制的患者相关预测因素.
主要方法:
- 对前性收集的96名患者数据库的回顾性审查,这些患者接受了门诊肘部,前臂,手腕和/或手部手术.
- 患者填写了术前/术后问卷,评估疼痛,阿片类药物使用,生活质量 (EQ-5D),性 (BRS) 和限制.
主要成果:
- 80%的患者报告了足够的疼痛控制.
- 较低的生活质量 (EQ-5D) 评分和更高的烟草使用率与不充分的疼痛控制有关.
- 两组之间在性别,年龄,种族,性,大麻使用或慢性疼痛诊断方面没有发现显著差异.
结论:
- 手术前的生活质量和吸烟是影响术后疼痛控制的重要因素.
- 这些发现表明了优化疼痛管理策略和减少手术患者的阿片类药物依赖的潜在目标.
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