在孤立和复发的肩部脱和减小后,阿片类药物的消费
Bhargavi Maheshwer1, Kallie J Chen1, Casey C Kuka2
1Department of Orthopaedics, University Hospital Cleveland Medical Center, Cleveland, OH, USA.
Journal of shoulder and elbow surgery
|January 25, 2025
概括
反复发生的肩部脱导致减少后的阿片类药物使用率较高,而不是单次脱. 虽然最初的阿片类药物消费在复发病例中更大,但随着时间的推移,这种差异会减少.
科学领域:
- 整形外科手术 整形外科手术
- 疼痛管理 疼痛管理
- 公共卫生 公共卫生
背景情况:
- 经常发生的肩部脱位往往需要多次医疗干预,增加阿片类药物暴露.
- 这可能会增加慢性阿片类药物使用和依赖的风险.
- 了解肩膀不稳定的阿片类药物模式对于患者护理至关重要.
研究的目的:
- 标志着肩膀的不稳定性.
- 为了比较单一排位器 (SDs) 和复发排位器 (RDs) 之间的降低前和降低后阿片类药物使用.
主要方法:
- 在一个单一的学术机构进行回顾性研究.
- 包括18岁以上的肩部脱的患者.
- 分析了阿片类药物暴露 (处方和MME) 的电子医疗记录.
主要成果:
- 复发性脱位者 (RDs) 较年轻,并且比单一脱位者 (SDs) 更有可能有先前的骨折.
- RDs比SDs更频繁地接受手术.
- 在第一次随访时,RDs显示阿片类药物使用 (处方和MME) 显著增加,但在随后的术后访问时没有出现.
结论:
- 患有重复肩部脱位的患者在减少和手术干预后更有可能增加阿片类药物消费.
- 阿片类药物使用模式可能在立即的降低后期有所不同,但随着时间的推移可以正常化.
- 建议为患有慢性肩部不稳定的患者提供关于阿片类药物风险的咨询.
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