在妇科瘤学中,患者在部手术后报告了阿片类药物的使用
Katelyn Tondo-Steele1, Cynthia Stroup1, Shitanshu Uppal1
1Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, Michigan Medicine, 1500 E. Medical Center Dr., Ann Arbor, MI 48109, USA.
Gynecologic oncology reports
|July 26, 2024
概括
大多数接受外科手术的患者需要最少的阿片类药物来缓解疼痛. 患者年龄是预测术后阿片类药物使用的关键因素,为妇科瘤患者制定了量身定制的处方指南.
科学领域:
- 妇科瘤学 妇科瘤学
- 外科手术的结果
- 疼痛管理 疼痛管理
背景情况:
- 在术后增强恢复 (ERAS) 协议中,关于外科手术结果的数据有限.
- 在外科手术后术后使用阿片类药物需要进一步调查.
研究的目的:
- 评估患者和程序因素影响术后阿片类药物使用在部手术后.
- 为接受癌手术的患者开发专门的阿片类药物处方算法.
主要方法:
- 对100名因妇科恶性瘤而接受外科手术的患者进行了回顾性队列研究 (3/2019-7/2022).
- 对阿片类药物使用,年龄,手术细节,NSAID使用和并发症的风险因素的分析.
- 后勤和线性回归模型用于识别阿片类药物使用的预测因素,并制定处方指南.
主要成果:
- 35%的患者在手术后没有接受阿片类药物处方.
- 39%的人至少使用过一种阿片类药丸,而26%的人没有使用过.
- 患者年龄是阿片类药物使用的重要预测因素 (p < 0.006);其他因素无意义.
结论:
- 大多数患者在部手术后需要最小的或没有阿片类药物.
- 手术前的因素,特别是患者的年龄,可以帮助优化疼痛管理,减少不必要的阿片类药物处方.
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