在头部和部手术中,患者对非阿片类手术后止痛的满意度:一项前性随机试验
Hector Andres Perez1, Jaibir Singh Pannu1, Ethan Frank1
1Department of Otolaryngology-Head and Neck Surgery, Loma Linda University Health, Loma Linda, California, USA.
概括
在门诊头手术患者中,阿片类药物节约性止痛药与传统阿片类药物疗法一样有效. 患者的满意度和疼痛控制是相似的,支持使用非阿片类药物选择.
科学领域:
- 麻醉学 麻醉学
- 手术瘤学手术瘤学
- 疼痛管理 疼痛管理
背景情况:
- 在头部和部手术后的术后疼痛管理通常依赖于阿片类药物.
- 阿片类药物缓解疼痛的目的是减少与阿片类药物相关的副作用和依赖.
- 患者满意度是评估术后疼痛控制策略的一个关键结果.
研究的目的:
- 为了比较患者对阿片类药物的满意度与阿片类药物节约性止痛.
- 评估在接受门诊头手术的患者的疼痛控制和恢复感知.
- 在现实临床环境中评估不同止痛疗法的疗效.
主要方法:
- 预期随机试验在高等医疗学术医院进行.
- 接受门诊头手术的成年患者被随机分为三个组.
- 各组接受了不同的可-乙氨基和布洛芬组合,包括阿片类药物节约选择.
主要成果:
- 在阿片类药物和阿片类药物节约组之间的患者满意度得分没有统计学上显著的差异 (平均得分为7.7-8.5).
- 在所有组中,同样比例的患者发现手术比预期的更痛苦 (25-32%).
- 愿意重复使用相同的止痛疗法的意愿很高,在不同组中可比 (75-83%).
结论:
- 阿片类药物和阿片类药物节约疗法在门诊头手术中提供了可比的患者满意度和疼痛控制.
- 阿片类药物储蓄选择是有效的,应该在手术前与患者讨论.
- 基于非阿片类药物的止痛药可以确保足够的疼痛管理,而不会对患者对护理的看法产生负面影响.
关键词:
止痛药 止痛药 止痛药 止痛药 止痛药头部和部手术手术手术手术.片类药物 片类药物减少阿片类药物使用的阿片类药物.耳鼻喉科 耳鼻喉科 耳鼻喉科门诊外科手术 门诊外科手术患者的满意度 患者的满意度术后疼痛 术后疼痛 术后疼痛更多相关视频
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