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在成年烧伤患者中实施多模式疼痛协议
Alyssa Garelli1, Allison N Boyd1, Michelle Brown1
1Department of Pharmacy, Eskenazi Health; Indianapolis, IN, United States.
概括
实施多模式疼痛顺序,在烧伤患者中显著减少了阿片类药物的使用. 这种方法也增加了非阿片类止痛药的使用,如乙氨基和布洛芬,改善了对临床指南的遵守.
科学领域:
- 疼痛管理 疼痛管理
- 烧伤护理 烧伤护理
- 药理学 药理学是指药理学的学科.
背景情况:
- 2020年美国烧伤协会指导方针倡导多模式疼痛管理,结合阿片类药物和非阿片类药物.
- 有效的疼痛控制对于烧伤患者的康复和福祉至关重要.
研究的目的:
- 评估实施多模式疼痛管理指令对烧伤患者的阿片类药物消费和非阿片类药物止痛药使用的影响.
- 为了比较在集成基于电子医疗记录的订单集之前和之后的结果.
主要方法:
- 一个单一中心的回顾性队列研究比较了两组烧伤患者 (前组n=64,后组n=63).
- 测量的主要结果是累积的吗啡毫克相当量 (MME) 通过医院第七天.
- 这项研究分析了定期服用乙氨基,易布洛芬和胺的管理情况.
主要成果:
- 与前组相比,使用多式联运顺序集的后组显示累计中位数MME (97对172,p=0.042) 的显着减少.
- 在后组中,计划使用乙氨基 (95.2% vs. 62.5%,p<0.001),布洛芬 (42.9% vs. 31.3%,p=0.017) 和胺 (28.6% vs. 14.1%,p=0.043) 的使用量显著增加.
- 随着阿片类药物剂量减少,疼痛水平没有恶化.
结论:
- 整合多模式疼痛顺序集有效地提高了对烧伤患者推的止痛实践的遵守.
- 这种干预是增加非阿片类止痛药在急性烧伤疼痛管理中的有效策略.
- 多模式疼痛管理策略可以优化疼痛控制,同时最大限度地减少烧伤人群中阿片类药物依赖.
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