在门诊手术中预装的带回家止痛药减少了阿片类药物的分配
E Lundqvist1,2, S Mousa3, S Wallén3,2
1Department of Orthopedics and Hand Surgery, University Hospital Örebro, Örebro, Sweden.
概括
预装的止痛袋在门诊手术中显著减少了阿片类药物处方. 这种方法在术后保持了高的患者满意度和可接受的疼痛水平.
科学领域:
- 整形外科手术 整形外科手术
- 疼痛管理 疼痛管理
- 药理学 药理学是指药理学的学科.
背景情况:
- 有效的术后疼痛管理对于患者的治疗结果和康复至关重要.
- 阿片类药物的过度消费是成和社会成本的重要风险因素.
- 以前的研究表明,在上肢手术中,处方和消费的阿片类药物之间存在很大的差异.
研究的目的:
- 评估实施预包装的带回家止痛药袋对处方和发放的阿片类药物量的影响.
- 为了评估患者的满意度和疼痛水平在使用预装的止痛袋后.
主要方法:
- 为门诊外科手术患者引入预包装的止痛袋 (含有甲醇,埃托里可西布和氧可).
- 包括147名收到袋子的患者,随后对疼痛,满意度和阿片类药物消费进行一个月的术后问卷调查.
- 预包袋系统实施之前和之后的处方数据的比较.
主要成果:
- 与标准处方相比,处方阿片类药物的显著减少:小袋组减少50%,大袋组减少67%.
- 小袋组的中位氧化消耗量为0.0 mg,大袋组的中位氧化消耗量为25.0 mg.
- 总体处方数据显示,在实施后,总处方阿片类药物减少了60%.
结论:
- 预装的镇痛袋导致门诊手和手腕手术中阿片类药物处方大幅减少.
- 干预导致了高的患者满意度和可接受的术后疼痛控制.
- 这一策略为优化在门诊外科设置中的阿片类药物使用提供了一个有希望的方法.
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