长期使用阿片类药物后自由片乳房重建:发病率和相关因素
Joshua B Cadwell1, Minji Kim2, Francis D Graziano2
1Department of Anesthesiology and Critical Care Medicine, Memorial Sloan Kettering Cancer Center, New York, New York, USA.
Plastic surgery (Oakville, Ont.)
|January 29, 2025
概括
只有2%的乳房重建患者经历了自由手术后的长期阿片类药物依赖. 风险因素包括较高的手术内阿片类药物剂量和先前的物质使用障碍,突出显示需要继续采取阿片类药物节约策略.
科学领域:
- 整形外科 整形外科 整形外科
- 在瘤学瘤学.
- 疼痛管理 疼痛管理
背景情况:
- 阿片类药物依赖影响6-10%的乳房重建后患者.
- 跨学科的努力旨在减少术后阿片类药物使用.
- 需要更新免费翻盖乳房重建后长期阿片类药物依赖的最新数据.
研究的目的:
- 为了确定自由乳房重建后长期阿片类药物依赖的发生率.
- 在这个患者群体中确定与长期使用阿片类药物相关的风险因素.
主要方法:
- 从2017年到2020年,对自由片乳房重建的回顾性审查.
- 排除在120天内进行额外手术的患者.
- 长期使用阿片类药物作为处方的定义是手术后91-120天.
- 后勤回归分析用于评估风险因素.
主要成果:
- 732名患者中有15名患者 (2%) 长期使用阿片类药物.
- 发现与手术内吗啡,后期阿片类药物处方和有毒物质使用障碍,焦虑或情绪障碍史的重大关联.
结论:
- 长期使用阿片类药物发生在接受自主乳房重建的2%的患者中.
- 目前的阿片类药物最小化计划可能会使接受这些手术的患者受益.
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