在1497名患者的裂口修复后,术后的阿片类药物处方
Aidin Gharavi1, Jainaha K Srikumar1, Dawit Haile2
1Division of Plastic Surgery, Department of Surgery, Mayo Clinic, Rochester, MN, USA.
概括
在接受裂唇修复 (CLR) 的儿科患者中,近一半在手术后接受了阿片类药物处方. 年龄,体重,麻醉时间以及美国麻醉学会 (ASA) 的分类等因素预测了处方.
科学领域:
- 儿科手术 儿科手术
- 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:
- 手术后的阿片类药物处方是儿科手术的一个问题.
- 唇裂修复 (CLR) 是一个常见的儿科手术程序.
- 了解CLR后的阿片类药物使用模式对于优化疼痛管理和管理至关重要.
研究的目的:
- 为了确定手术后阿片类药物处方的频率,在接受裂唇修复 (CLR) 的患者.
- 为了确定与阿片类药物处方相关的因素,在CLR后在出院时处方.
- 在儿科外科护理中为阿片类药物管理策略提供信息.
主要方法:
- 利用了2023年国家外科质量改善计划的儿科 (NSQIP-P) 数据库.
- 使用当前程序术语 (CPT) 代码进行CLR的确定的患者.
- 进行了无变量分析,以确定术后阿片类药物处方的预测因素.
主要成果:
- 44.6%的患者在出院时接受了阿片类药物处方,最常见的是氧化.
- 患者体重增加,美国麻醉学会 (ASA) 的分类,更长的麻醉时间和更长的年龄与阿片类药物处方有关.
- 阿片类药物处方与双边与单边的CLR或住院患者与门诊病人的状态没有显著的关联.
结论:
- 在儿科护理中,阿片类药物管理至关重要.
- 年龄,体重,麻醉持续时间和ASA分类是CLR后阿片类药物处方的关键预测因素.
- 需要进一步的研究,以了解疼痛的贡献者,并优化对儿科CLR患者的处方做法.
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