过渡性疼痛服务:一个更新
Ruben Klimke1, Alexander Ott1, Carolina S Romero2,3
1Department of Anaesthesiology Rescue- and Pain Medicine, Cantonal Hospital of St. Gallen, St. Gallen, Switzerland.
Current pain and headache reports
|March 26, 2024
概括
过渡性疼痛服务 (TPS) 有助于减少阿片类药物的使用,并改善手术后的功能. 需要更多的研究来确认TPS是否可以预防慢性术后疼痛 (CPSP).
科学领域:
- 疼痛医学 医学 疼痛医学
- 外科手术的结果
- 医疗保健管理的管理
背景情况:
- 慢性术后疼痛 (CPSP) 和阿片类药物依赖是大手术后的重大风险.
- 过渡性疼痛服务 (TPS) 提供了一个跨学科的方法来治疗外科手术期间的疼痛.
- 通过持续的,以患者为中心的护理,TPS旨在防止急性疼痛变为慢性.
研究的目的:
- 审查过渡性疼痛服务 (TPS) 的框架,原则和证据.
- 在TPS模型中总结治疗术后疼痛的干预措施.
- 确定TPS的未来研究方向.
主要方法:
- 关于过渡性疼痛服务 (TPS) 的现有文献的审查.
- 综合有关TPS有效性和干预措施的证据.
- 讨论TPS当前的缺口和未来的研究需求.
主要成果:
- 研究表明,TPS可以减少外科手术期间和退院后的阿片类药物消费.
- 有证据表明TPS改善功能结果,患者报告疼痛严重程度和干扰较少.
- 仍然缺乏直接证据将TPS与慢性术后疼痛 (CPSP) 发生率的减少联系起来.
结论:
- 过渡性疼痛服务 (TPS) 在治疗术后疼痛和减少阿片类药物使用方面表现有前途.
- 需要进一步的研究来确定TPS对预防慢性术后疼痛 (CPSP) 的确切影响.
- 通过数字健康评估TPS的成本效益和扩展是有必要的.
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