进入手术前的教育视频对膝关节关节镜部分带膜切除术后的术后阿片类药物使用没有影响:一项前性队列研究
Marc G Lubitz1, Luke Latario1, Oghomwen Ogbeide-Latario2
1Department of Orthopedics and Physical Rehabilitation, University of Massachusetts Chan, School of Medicine, Worcester, Massachusetts, U.S.A.
Arthroscopy, sports medicine, and rehabilitation
|March 4, 2024
概括
为患者提供关于阿片类药物的教育视频并没有减少术后阿片类药物的使用,在关节镜部分脑膜切除术后. 肥胖,吸烟和抑郁等因素与较高的阿片类药物消费有关.
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:
- 手术后疼痛管理通常涉及阿片类止痛药.
- 尽量减少阿片类药物使用对于预防依赖和不良影响至关重要.
- 关节镜局部脑膜切除术是一种常见的骨科手术,伴有术后疼痛.
研究的目的:
- 评估教育视频干预措施在减少术后阿片类药物消费方面的有效性.
- 评估在线教育资源是否可以影响膝盖手术后患者的阿片类药物使用.
主要方法:
- 进行了一项随机对照试验,其中166名患者接受了关节镜部分脑膜切除术.
- 干预组获得了关于阿片类药物使用的5分钟在线视频;对照组没有.
- 手术后使用阿片类药物被通过手术后10-14天的电话随访评估.
主要成果:
- 消费的阿片类药丸的平均数量在对照组是3个,在干预组是2.2个 (不具有统计学意义).
- 肥胖,吸烟和抑郁症与阿片类药物使用增加和不使用麻醉品的比例降低有关.
- 运动参与与较低的平均阿片类药物消费有关.
结论:
- 一个教育视频干预并没有显著降低术后阿片类药物使用在经历了关节镜部分脑膜切除术的患者.
- 肥胖,吸烟,抑郁和活动水平等患者因素影响术后阿片类药物需求.
- 大约一半的患者在术后没有使用麻醉剂,不管教育干预措施如何.
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