在前十字带重建后的阿片类药物消费:系统性审查
Martina E Hale1, Michael S Ramos1, Collin J Laporte1
1Cleveland Clinic, Cleveland, Ohio, USA.
Orthopaedic journal of sports medicine
|July 16, 2025
概括
解决了前十字带重建 (ACLR) 后口服阿片类药物处方缺乏统一的指导方针的问题. 诸如神经阻塞和多模式止痛等干预措施可以减少ACLR后的阿片类药物使用.
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:
- 目前缺乏在前十字带重建 (ACLR) 后口服阿片类药物处方的指导方针.
- 需要基于数据的建议来管理术后疼痛和阿片类药物消费.
研究的目的:
- 进行现有文献的系统审查.
- 在ACLR后的患者中量化口服阿片类药丸的消耗.
主要方法:
- 在多个数据库 (MEDLINE,Embase,Scopus,Cochrane CENTRAL) 中使用PRISMA指南进行系统的文献搜索.
- 包括的研究量化了至少4天的术后阿片类药物消费.
- 提取的数据包括初始处方大小,药片类型和额外的处方.
主要成果:
- 包括20篇文章,分析ACLR后的口服阿片类药物消费.
- 阿片类药物的消费量差异很大,从2.3到32.2片5毫克的氧化 (17.3-242MME).
- 减少阿片类药物使用的有效策略包括手术前的神经阻塞,局部麻醉剂注射 (例如布皮瓦卡因) 和多式联络止痛.
结论:
- 术前和术后的干预可以显著减少阿片类药物消费ACLR后.
- 虽然特定的非阿片类止痛药的最佳使用需要进一步研究,但多式联络方法显示出希望.
- 这一审查为未来研究ACLR后的非阿片类药物疼痛管理策略奠定了基础.
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