在经过桃体切除术的成年患者中治疗术后疼痛的手术内甲 - 一项随机对照试验
Michael Bøndergaard1, Peter Gaarsdal Uhrbrand2, Tutku Karaca1
1Department of Anaesthesiology and Intensive Care, Randers Regional Hospital, Randers, Denmark.
BJA open
|June 12, 2025
概括
与芬太尼相比,美沙在桃体切除术后显著降低了疼痛和阿片类药物的使用. 然而,它也增加了术后恶心和吐 (PONV) 的风险.
科学领域:
- 麻醉学 麻醉学
- 药理学 药理学是指药理学的学科.
- 疼痛管理 疼痛管理
背景情况:
- 桃体切除术经常伴有严重的术后疼痛.
- 有效的疼痛管理策略对于桃体切除术后的患者康复至关重要.
研究的目的:
- 为了比较甲与芬太尼在经过桃体切除术后治疗术后疼痛的疗效.
- 评估甲对阿片类药物消费和患者报告的疼痛强度的影响.
主要方法:
- 一项随机试验,涉及120名接受桃体切除术的成年患者.
- 患者在麻醉后接受甲 (0.2 mg/kg) 或芬太尼尔 (3 μg/kg).
- 主要结局包括疼痛强度和5天的累积阿片类药物消费.
主要成果:
- 甲组在PACU中显著降低了5天的阿片类药物消费 (30毫克 vs. 49毫克) 和减少疼痛强度,在24小时和48小时.
- 甲组在24小时,48小时和72小时经历了中度至严重的术后恶心和吐 (PONV) 的更高发病率.
- 在患者满意度,镇静或住院时间方面没有发现显著差异.
结论:
- 甲在减少手术后的疼痛和桃体切除术后的阿片类药物消耗方面是有效的.
- 在这种情况下,PONV的发病率增加是与甲使用相关的显着副作用.
- 对疼痛和PONV风险因素的进一步研究可能会优化患者对甲治疗的选择.
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