跨腰间体融合后的阿片类药物使用:公开和最小侵入性手术之间的比较
Juan Felipe Abaunza-Camacho1,2,3, Sara Gomez-Niebles1,2,3, Humberto Madrinan-Navia1,2,3
1Center for Research and Training in Neurosurgery (CIEN), Hospital Universitario de la Samaritana, Bogotá, Colombia.
Journal of neurological surgery. Part A, Central European neurosurgery
|November 19, 2024
概括
至少侵入性的跨腰部体融合 (MTLIF) 与开放的跨腰部体融合 (OTLIF) 相比,显示了较低的阿片类药物消耗. 由于样本大小限制在治疗术后疼痛方面,需要进行进一步的研究.
科学领域:
- 神经外科 神经外科
- 疼痛管理 疼痛管理
- 公共卫生 公共卫生
背景情况:
- 阿片类药物对于严重的慢性和急性术后疼痛至关重要,但由于滥用,它们对公共健康构成风险.
- 脊柱融合手术 (OTLIF,MTLIF) 与明显的术后疼痛有关.
- 根据手术方法,阿片类药物的消费有所不同.
研究的目的:
- 为了比较经手术后的阿片类药物消费在开放的跨腰部体融合 (OTLIF) 和最小侵入性的跨腰部体融合 (MTLIF) 之间.
主要方法:
- 一个定量,观察,历史的队列研究.
- 分析了45名患者 (34名OTLIF,11名MTLIF),测量了人口统计数据,手术类型,停留时间,疼痛控制和阿片类药物使用.
- 基于变量特征的统计方法被应用.
主要成果:
- 在大多数观察期中,微创性跨关节腰椎体融合 (MTLIF) 组在频率和剂量方面消耗的阿片类药物较少.
- 手术后阿片类药物的频率和剂量在手术后立即的组之间是相似的.
- 手术类型,根茎病变和根茎炎占显著术后疼痛的高达50%.
结论:
- 在OTLIF和MTLIF手术技术之间存在阿片类药物消费的显著差异.
- 研究结果表明,MTLIF有可能改善术后疼痛管理和减少阿片类药物使用.
- 需要对更大的样本进行进一步的研究,以验证这些发现并为临床实践提供信息.
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