对手术后疼痛的两种治疗方法的分析 经过瘤切除术后的治疗方法
概括
与按需治疗 (ODAT) 相比,全天候止痛治疗 (ACAT) 显著减少了切除术后的术后疼痛. 这种固定时间表的方法也降低了对阿片类和非阿片类止痛药的需求.
科学领域:
- 疼痛管理 疼痛管理
- 药理学 药理学是指药理学的学科.
- 外科手术的结果
背景情况:
- 经过切除术后的术后疼痛是一个重大问题.
- 将24小时止痛治疗 (ACAT) 与按需止痛治疗 (ODAT) 进行比较,对于优化疼痛管理至关重要.
- 了解切除术患者的疼痛风险因素可以为治疗策略提供信息.
研究的目的:
- 为了比较ACAT与ODAT在经过切除术后治疗术后疼痛的疗效.
- 评估ACAT对阿片类和非阿片类止痛药需求的影响.
- 在这个患者队列中确定与术后疼痛增加相关的危险因素.
主要方法:
- 这是一项非随机研究,从2016年7月到2020年12月,涉及5335名切除术患者.
- 患者被分配到ACAT (3767) 或ODAT (1568) 两组.
- 记录和分析了疼痛水平 (VAS),止痛药的使用,以及包括BMI和年龄在内的人口统计数据.
主要成果:
- 与ODAT组相比,ACAT组报告的最大 (3.04对4.95VAS) 和平均疼痛 (0.79对1.45VAS) 显着较低.
- ACAT导致阿片类药物使用大幅减少 (例如,美里丁减少了68.38%) 和非阿片类止痛药使用减少了16-59%).
- 较高的BMI和较年轻的年龄被确定为术后疼痛增加的显著风险因素 (分别为p=.049,p.001).
结论:
- 切除术通常会导致中度的术后疼痛,只有14%的患者报告严重疼痛.
- 一个固定时间表的多模式止痛疗法 (ACAT) 有效地降低了经过瘤切除术后的疼痛到轻度水平.
- ACAT与降低止痛药消费有关,并将较高的BMI和较年轻的年龄确定为关键疼痛风险因素.
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