在骨折手术后使用底特律干预性疼痛管理工具评估术后疼痛管理:我们真的做得有多好?
Lauryn J Boggs1, Sasha A Stine2, Eunice Heuvers2
1Department of Orthopedic Surgery, Wayne State University, Detroit, MI; and.
Journal of orthopaedic trauma
|August 12, 2024
概括
骨折手术后,阿片类药物的使用和处方显著下降,大多数患者在6个月内停止使用阿片类药物. 然而,多创伤患者往往需要额外的处方来持续治疗疼痛.
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:
- 骨折手术后的术后疼痛管理通常涉及阿片类药物处方.
- 评估长期阿片类药物使用和患者满意度对于优化护理途径至关重要.
研究的目的:
- 评估骨折手术后患者的阿片类药物处方模式和疼痛管理满意度.
- 在2年的术后期确定阿片类药物使用和疼痛控制的趋势.
主要方法:
- 一项前性预后队列研究,涉及一级创伤中心201名骨折患者.
- 患者在多次术后间隔 (2周至6个月) 填写了验证的疼痛和阿片类药物使用问卷.
- 使用密歇根州自动化处方系统验证了阿片类药物处方.
主要成果:
- 阿片类药物的使用和处方的吗啡毫克相当量 (MMEs) 从手术后的2周到6个月显著下降 (P < 0.001).
- 6个月后,89.7%的患者不再使用阿片类药物;疼痛管理效率从2周后的67.2%提高到3个月后的82.6%.
- 需要连续手术的多创伤患者在6个月以后继续从外部处方者处方阿片类药物.
结论:
- 随着患者从骨折手术中恢复,阿片类药物的处方和使用量大幅下降.
- 虽然由外科医生主导的逐渐缓解是有效的,但多创伤患者可能需要外部处方医生的持续疼痛管理支持.
- 这凸显了对需要长期疼痛管理的复杂骨折患者进行协调护理的需要.
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