多种模式的急性疼痛管理在分娩与阿片类药物使用障碍:一篇评论
Victor Koltenyuk1, Ismat Mrad2, Ian Choe1
1School of Medicine, New York Medical College, Valhalla, NY, USA.
Journal of pain research
|March 13, 2024
概括
孕妇患有阿片类药物使用障碍 (OUD) 的疼痛管理需要全面的跨学科方法. 这包括针对阿片类药物使用障碍 (MOUD) 的量身定制药物和多模式止痛,以确保母亲和胎儿的福祉.
科学领域:
- 产科和妇科 产科和妇科
- 麻醉学 麻醉学
- 成 药物 药物 药物 药物
- 药理学 药理学是指药理学的学科.
背景情况:
- 孕妇中阿片类药物使用障碍 (OUD) 的增加需要专门的产科护理.
- 在OUD产妇中治疗急性疼痛会带来诸如呼吸抑制和阿片类药物耐受性等挑战.
- 患有OUD的患者可能未接受治疗,戒断或服用阿片类药物使用障碍 (MOUD) 药物.
研究的目的:
- 概述一个以患者为中心的多模式疼痛管理策略,用于OUD孕妇患者.
- 审查当前和新兴的药理和非药理疼痛缓解选择.
- 强调跨学科方法对于最佳结果的重要性.
主要方法:
- 关于OUD孕妇疼痛管理策略的文献综述.
- 分析目前的指导方针和关于治疗阿片类药物使用障碍 (MOUD) 药物的研究.
- 讨论非阿片类止痛药,区域麻醉和辅助药物.
主要成果:
- 建议采用逐步的多模式方法,结合非阿片类止痛药,区域技术和MOUD.
- 谨慎的MOUD (甲,布普伦诺芬,纳尔特雷克松) 剂量是预防母亲戒断的关键.
- 像神经轴麻醉和干部阻塞这样的阿片类药物节约策略是有效的.
- 新兴的药物 (胺,克洛尼丁等) 显示潜力,但需要进一步调查.
结论:
- 对于OUD的孕妇患者来说,全面的疼痛管理至关重要.
- 跨学科的团队方法确保了最佳的孕产妇和新生儿结果.
- 定制的MOUD和多模式止痛是有效的产周护理的关键组成部分.
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