在功能性鼻整形中,术后疼痛和术后抗生素管理
Jaclyn Lee1, Monica K Rossi-Meyer2, Shiayin F Yang2
1Department of Otolaryngology-Head and Neck Surgery, Vanderbilt University Medical Center, 1215 21st Avenue South, Suite 7209, Medical Center East, South Tower, Nashville, TN 37232, USA.
Otolaryngologic clinics of North America
|September 12, 2024
概括
有效的鼻整形后疼痛管理需要采用多模式的方法. 减少常规的麻醉剂处方和利用乙氨基与NSAIDs可能与阿片类药物一样有效控制疼痛.
科学领域:
- 整形外科 整形外科 整形外科
- 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:
- 鼻整形后的疼痛管理通常依赖于阿片类药物,引发了对依赖和副作用的担忧.
- 越来越多地建议采用多模式疼痛控制策略,以优化患者的治疗结果.
- 术前患者教育对于管理期望和减少不必要的药物使用至关重要.
研究的目的:
- 审查现有证据,以有效的疼痛控制策略后鼻美术.
- 评估非麻醉止痛药与阿片类药物相比,在鼻整形术后的疼痛中发挥的作用.
- 为提供有关鼻整形中的抗生素预防的指导.
主要方法:
- 关于治疗疼痛和在鼻美术中使用抗生素的研究文献综述.
- 证据分析比较乙氨基/NSAID与阿片类药物的组合.
- 根据手术复杂性和患者因素评估预防性抗生素的建议.
主要成果:
- 建议采用多种模式的疼痛治疗方案来控制鼻膜整形术后的疼痛.
- 乙氨基和非类固醇抗炎药物 (NSAID) 组合可能提供与需要的阿片类药物相当的疼痛控制.
- 对大多数患者来说,减少常规麻醉剂处方是一种合理的方法.
- 手术前的疼痛咨询可以有效地管理期望并减少阿片类药物消费.
- 一般来说,单次静脉注射的预防性抗生素剂量对于功能性鼻整形来说是足够的.
结论:
- 优化鼻整形后疼痛控制涉及多模式止痛,可能减少对常规阿片类药物的依赖.
- 仔细的患者选择和咨询是有效的疼痛管理的关键组成部分.
- 抗生素预防指南应根据个体患者和手术因素量身定制.
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