照顾患有不可手术的关节骨折的患者
Arouba Imtiaz1, Amelia Collins1, Fiona Rawlinson2,3
1Trauma and Orthopaedics, University Hospital of Wales, Cardiff, UK.
BMJ supportive & palliative care
|June 1, 2025
概括
在老年患者中,严重的关节骨折疼痛不适合进行手术可能是具有挑战性的. 静脉注射芬太尼的患者控制止痛疗法 (PCA) 在息治疗病例中提供了有效的疼痛缓解和警觉.
科学领域:
- 老年医学 老年医学
- 抚慰性护理是一种缓解性护理.
- 疼痛管理 疼痛管理
背景情况:
- 关节骨折带来了重大疼痛管理挑战,特别是在没有手术候选人的伴随性疾病的老年患者中.
- 在这种人群中,传统的阿片类止痛药可以导致镇静和不充分的疼痛控制.
研究的目的:
- 评价患者控制止痛疗法 (PCA) 对治疗非手术性老年息护理患者的严重疼痛的疗效.
主要方法:
- 一个老年男性患者的病例研究,患有多种并发症和骨折,非手术治疗.
- 在标准阿片类药物被证明不足并引起镇静后,利用静脉注射芬太尼通过患者控制的止痛疗法 (PCA) 来治疗疼痛.
主要成果:
- 静脉注射芬太尼的患者控制疼痛缓解 (PCA) 提供了有效的,短效的疼痛缓解.
- 患者在接受PCA时保持警觉并能够参与护理,与标准阿片类药物不同.
结论:
- 患者控制的止痛疗法 (PCA) 是一种可行的和实用的选择,用于管理选择的息治疗患者的疼痛,这些患者有骨折,不适合进行手术.
- 这种方法可以改善疼痛控制和患者参与老年息环境中的护理.
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