多种模式的止痛可以减少手术后的阿片类药物消费在接受肩部关节镜术的患者吗? 一个回顾性研究
Liming Fang1, Mingkun Yu1, Zhifeng Tang2
1Department of Arthrology and Sports Medicine, Chengyang District People's Hospital, 266109 Qingdao, Shandong, China.
Annali italiani di chirurgia
|June 26, 2024
概括
多模式止痛疗法显著减少了阿片类药物使用和肩部关节镜术后的并发症. 这种疼痛管理策略改善了患者的治疗结果,并提供了有效的短期疼痛缓解.
科学领域:
- 整形外科 整形外科 整形外科
- 疼痛管理 疼痛管理
- 麻醉学 麻醉学
背景情况:
- 肩部关节镜术往往会导致显著的术后疼痛,需要有效的疼痛管理策略.
- 基于阿片类药物的镇痛是常见的,但与依赖和副作用等风险有关.
- 探索非阿片类药物或多模式方法对于改善患者康复和安全至关重要.
研究的目的:
- 评估多模式止痛药在减轻手术后阿片类药物消耗的有效性,在接受肩膀关节镜术的患者.
- 为了比较疼痛强度,并发症率和多模式止痛疗法和传统阿片类药物患者控制的止痛疗法之间的功能恢复.
主要方法:
- 对132名患者进行后期分析,这些患者接受了肩膀关节镜检查,以检查下缩综合征.
- 患者被分为对照组 (静脉注射患者控制的止痛药用sufentanil/butorphanol) 和观察组 (多式止痛药用ropivacaine pump,celecoxib和乙氨基).
- 疼痛分数 (VAS),阿片类药物使用,住院,并发症,SF-36,和Constant-Murley分数在各组之间进行了比较.
主要成果:
- 与对照组相比,多模式止痛组在手术后8,24和48小时显示出明显较低的疼痛强度.
- 在多模式止痛组中,阿片类药物的使用率和并发症率显著降低.
- 观察组在治疗后一周报告了显著更高的SF-36和Constant-Murley得分.
结论:
- 多模式止痛是一种有效的策略,可以减少阿片类药物消耗和肩部关节镜术后的并发症.
- 这种方法提供了优异的短期疼痛缓解,并有助于改善功能结果.
- 实施多模式止痛可以提高患者在肩膀关节镜手术后的康复和安全.
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