骨折手术中的术前和术后疼痛管理实践:埃塞俄比亚的一项双中心前性观察性研究
Mestawet Getachew1, Anners Lerdal2,3, Tsegaye Melaku1
1Department of Clinical Pharmacy, School of Pharmacy, Institute of Health, Jimma University, Jimma, Ethiopia.
Langenbeck's archives of surgery
|August 13, 2025
概括
埃塞俄比亚的骨科创伤患者经历了不充分的疼痛管理,特别是在手术前. 强烈的阿片类药物即使在严重的疼痛中也未得到充分利用,这凸显了改善疼痛控制策略的必要性.
科学领域:
- 整形外科手术 整形外科手术
- 疼痛管理 疼痛管理
- 公共卫生 公共卫生
背景情况:
- 急性疼痛对于接受骨科创伤和手术的患者来说是一个重大挑战.
- 有效的疼痛管理对于患者的创伤后恢复和福祉至关重要.
研究的目的:
- 评估在经历骨科手术的埃塞俄比亚创伤性骨折患者手术前和手术后疼痛管理的充分性.
- 在这个人群中确定与疼痛控制不足相关的因素.
主要方法:
- 在2019年1月至2021年10月期间,在两个埃塞俄比亚创伤中心进行了前性队列研究.
- 在手术前和手术后24小时,使用疼痛管理指数 (PMI) 评估疼痛.
- 收集了社会人口统计,物质使用,受伤类型和心理因素的数据.
主要成果:
- 在74.8%的患者中,手术前的疼痛管理不充分,手术后的疼痛改善到42.2%.
- 严重的疼痛是普遍存在的 (30.8%的术前,41.3%的术后),但强烈的阿片类药物甚至没有为严重的病例开处方.
- 较低的教育,酒精使用,更高的焦虑和抑郁症得分与不充分的疼痛管理有关.
结论:
- 在埃塞俄比亚,外伤骨折的术后疼痛管理在很大程度上是不充分的,在术前护理方面存在显著的缺陷.
- 强烈阿片类药物对严重疼痛的使用不足表明疼痛管理协议存在关键差距.
- 社会人口统计学和心理因素显著影响疼痛管理结果,需要有针对性的干预措施.
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