一个协作多模式疼痛管理途径减少了片消费后的全部和膝关节关节整形手术
Mahmoud Khellah1, Thomas Huff1, Kathryn Schabel1
1Department of Orthopaedics and Rehabilitation, Oregon Health & Science University, Portland, OR, USA.
Arthroplasty today
|June 12, 2025
概括
一个新的多模式疼痛管理协议显著降低了关节和膝关节置换患者的阿片类药物消耗. 这种方法还缩短了住院时间,但没有增加疼痛评分.
科学领域:
- 整形外科手术 整形外科手术
- 疼痛管理 疼痛管理
- 药理学 药理学是指药理学的学科.
背景情况:
- 多学科团队开发了一种多式疼痛管理协议,用于全关节和膝关节关节整形.
- 该协议旨在减少接受这些手术的患者使用阿片类药物.
研究的目的:
- 评估多模式疼痛管理协议在全关节整形术后减少阿片类药物消费的有效性.
主要方法:
- 一项回顾性队列研究比较了多式联络方案的206名患者和接受标准护理的249名患者.
- 从2017年1月到2020年3月收集的数据包括每24小时的术后吗啡毫克相当量 (MMEs),出院时和出院后6周的数据.
主要成果:
- 多式联络组显示每24小时的MME显著降低 (57.0比84.7,P<.001).
- 出院时的阿片类药物处方 (300对525,P<.001) 和出院后的6周 (150对400,P=.01) 都减少了.
- 多式联络协议还导致停留时间更短 (P = .01) 并且疼痛得分相似.
结论:
- 协作多式联通疼痛管理途径有效地减少了片消费和总关节和膝关节关节整形术患者的停留时间.
- 该方案在不同患者的阿片类药物需求中表现出有效性,并保持了类似的疼痛控制.
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