胸部手术后停止静脉注射患者控制的止痛药的危险因素
Saeyeon Kim1,2, Beatrice Chia-Hui Shih3, In-Ae Song1,4
1Department of Anesthesiology and Pain Medicine, Seoul National University Bundang Hospital, Seongnam, Korea.
Annals of thoracic medicine
|March 6, 2024
概括
女性患者和具有较少并发症的患者更有可能因为肺部或食道手术后的副作用而停止静脉注射患者控制的止痛疗法 (IV PCA). 这凸显了针对性疼痛管理策略的必要性.
科学领域:
- 麻醉学 麻醉学
- 手术疼痛管理手术疼痛管理
- 药理学 药理学是指药理学的学科.
背景情况:
- 术后疼痛管理对于重大手术后的康复至关重要.
- 静脉注射患者控制的止痛疗法 (IV PCA) 是一种常见的治疗急性疼痛的方法.
- 了解影响IVPCA停药的因素对于优化患者护理至关重要.
研究的目的:
- 为了确定与因副作用而中止IVPCA相关的风险因素.
- 为了分析患者特征和影响IVPCA的外科因素,使用肺和食道手术后的PCA.
主要方法:
- 在2020-2022年期间接受肺或食道手术的成年患者的回顾性研究.
- 从急性疼痛管理团队报告和电子健康记录中收集的关于IVPCA使用,副作用和停止治疗的数据.
- 统计分析以确定IVPCA停药的风险因素.
主要成果:
- 在1796名患者中,有196名患者因副作用而停止了IVPCA治疗.
- 女性性别与更高的断药概率相关 (aOR:2.65).
- 高血压和美国麻醉学会3级或更高的麻醉师与更低的中止可能性有关.
结论:
- 女性患者和具有较少并发症的患者可能需要对IVPCA副作用进行更密切的监测.
- 需要个性化疼痛管理策略,考虑患者因素和手术类型.
- 进一步的研究可以探索特定的副作用概况和替代止痛选择.
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