对于孤立的股骨骨折而言,骨伸缩并不能减少阿片类药物消费
Brian Mullis1, Jesse Caballero1, Abhijit Seetharam1
1Indiana University School of Medicine, Indianapolis, IN; and.
Journal of orthopaedic trauma
|February 29, 2024
概括
用骨引力 (TXN) 治疗孤立的股骨骨折的患者在急诊室消耗的阿片类药物比舒适位置 (COMF) 的患者多. 然而,整体手术前阿片类药物使用情况相似,这表明COMF是TXN可接受的替代品.
科学领域:
- 整形外科手术 整形外科手术
- 创伤护理 创伤护理
- 疼痛管理 疼痛管理
背景情况:
- 孤立的股骨骨折需要进行手术前的治疗.
- 治疗选择包括骨引力 (TXN) 和舒适位置 (COMF).
- 吸食阿片类药物是骨折管理中的一个关键问题.
研究的目的:
- 为了比较TXN和COMF之间的手术前阿片类药物消耗,用于隔离的股骨轴骨折.
- 评估不同手术前治疗对阿片类药物使用的影响.
主要方法:
- 在两个1级创伤中心进行了回顾性病例对照研究.
- 包括220名患有孤立OTA/AO 32A-C大腿骨轴骨折的患者 (2017-2020年).
- 主要结局:手术前的阿片类药物消费 (相当于吗啡毫克).
主要成果:
- 骨引力组在急诊室消耗的阿片类药物明显更多 (2.6 MME更多,P=0.031).
- 在医院床上或整个手术前过程中,没有发现阿片类药物消费的显著差异.
- 整体手术前阿片类药物消费率 (MME/小时) 在各组之间没有差异.
结论:
- 骨的引力导致更高的初始阿片类药物使用在骨轴骨折的急诊室.
- 舒适的位置是骨引力的可行的替代方案,与类似的整体手术前阿片类药物消耗相似.
- 考虑COMF可能有助于优化创伤护理中的疼痛管理策略.
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