丹麦剖腹产术后疼痛管理:对当前临床实践的调查
1Department of Anaesthesia and Intensive Care Medicine, Zealand University Hospital, Roskilde, Denmark.
Acta anaesthesiologica Scandinavica
|February 28, 2025
概括
大多数丹麦分娩中心使用口服吗啡,NSAIDs和偏醇治疗剖腹产疼痛. 尽管有指导方针,但内吗啡的使用是最小的,其他疼痛管理技术有显著的差异.
科学领域:
- 产科和妇科 产科和妇科
- 麻醉学 麻醉学
- 疼痛管理 疼痛管理
背景情况:
- 手术后的疼痛显著影响了剖腹产后的康复和母婴亲密关系.
- 丹麦的调查显示,45%-66%的患者经历了剖腹产后的严重疼痛.
- 丹麦分娩中心的标准疼痛管理实践需要审查.
研究的目的:
- 在丹麦分娩中心进行剖腹产后手术后疼痛管理的现有标准实践的调查和审查.
- 在丹麦的产科麻醉团队中识别疼痛管理协议的变化和共同点.
主要方法:
- 一项16个问题的调查分发给负责产科麻醉的麻醉师团队.
- 该调查探讨了在术后单位和病房中剖腹产疼痛管理的标准护理.
- 在2023年4月至11月期间,从所有22个丹麦配送中心收集了回复.
主要成果:
- 口服吗啡与NSAID和青相结合是主要的术后疼痛管理策略.
- 尽管国际建议,但由于对副作用的担忧,内吗啡使用很少 (一个中心).
- 在使用骨干神经阻塞,伤口透和延长释放吗啡方面存在显著差异.
结论:
- 大多数丹麦中心都依赖口服阿片类药物,NSAIDs和类药物来缓解剖腹产疼痛.
- 内吗啡的有限采用和区域技术的不一致使用突出了实践的差异.
- 成立了一项国家研究倡议 (www.cepra.nu),以评估丹麦剖腹产疼痛管理的证据和治疗选择.
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