在外科手术患者的外周止痛治疗中使用的全国趋势
Dale N Bongbong1, Waseem Abdou1, Engy T Said2
1School of Medicine, University of California, San Diego, La Jolla, CA, USA.
Journal of clinical anesthesia
|October 2, 2024
概括
在外科手术期间,外围止痛药的使用总体下降,但在一般和血管手术中增加. 这一趋势反映了现代手术实践中不断发展的疼痛管理策略.
科学领域:
- 麻醉学 麻醉学
- 外科手术的结果
- 疼痛管理 疼痛管理
背景情况:
- 区域麻醉和微创手术的进步可能会减少对外周止痛的需要.
- 有限的数据存在于当前的趋势在外科手术期间的外周止痛使用.
- 了解这些趋势对于优化术后疼痛管理策略至关重要.
研究的目的:
- 分析各种外科专业的外周麻醉率的趋势.
- 为了识别从2014年到2020年的外周支架利用的变化.
主要方法:
- 利用了来自国家外科质量改进计划数据库 (2014-2020) 的数据.
- 包括超过310万名患者在整体,胸部,泌尿,塑料,血管,骨科和妇科手术.
- 采用混合效应的多变量逻辑回归来评估外围注射器使用的年度趋势.
主要成果:
- 总体而言,外围注射器的使用量每年减少约2% (或0.98).
- 在前5个最频繁使用外周支架的专业中没有观察到任何显著的趋势.
- 在一般手术 (OR 1.05) 和血管手术 (OR 1.08) 中,外周术的利用率显著增加.
结论:
- 在全球范围内,外围外围止痛术的发生率有所下降.
- 在一般和血管外科手术专业中,人们注意到外围注射器利用的趋势越来越大.
- 这些发现突出了特定手术的麻醉和止痛技术的发展模式.
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