创伤和骨科手术的门诊疼痛服务
Claus Bredahl1, Simone Høstgaard2, Jannie Bisgaard1,3
1Department of Anaesthesiology, Aalborg University Hospital.
Danish medical journal
|February 5, 2024
概括
门诊疼痛服务有效地管理了手术后持续的疼痛,将治疗从阿片类药物转移到诸如 gabapentinoids 和抗抑郁药物等遵循指南的治疗方法,减少了不适当的阿片类药物使用.
科学领域:
- 疼痛医学 医学 疼痛医学
- 临床结果 临床结果
- 医疗保健服务研究 医疗保健服务研究
背景情况:
- 慢性疼痛是手术和创伤后经常出现的并发症.
- 有效的急性疼痛管理可以减少慢性疼痛的发生率.
- 这项研究考察了一项门诊疼痛服务,用于术后和创伤后患者.
研究的目的:
- 描述初始的五年经验与门诊疼痛服务.
- 评估骨科手术和创伤后持续疼痛的管理.
- 评估治疗模式和遵守国际指导方针.
主要方法:
- 一个回顾性队列研究的患者在骨科手术或创伤后出院.
- 来自门诊随访疼痛服务的患者病历的审查.
- 数据收集包括人口统计,诊断和咨询前后治疗.
主要成果:
- 包括261名患者,平均年龄为39岁; 53%是男性.
- 在83%的患者中诊断出神经性疼痛,10%的患者患有复杂区域性疼痛综合征.
- 咨询后,降醇/NSAID使用量从48%降至13%,阿片类药物使用量从25%降至8%,而 gabapentinoid/抗抑郁药使用量从36%增加到86%.
结论:
- 门诊疼痛服务可以促进采用符合指导方针的止痛方案.
- 该服务有助于确保在手术或创伤后不适当地继续使用阿片类药物.
- 建立这样的服务对于有效管理持续性疼痛至关重要.
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