针对急诊室急性腹痛的标准化疼痛管理协议的有效性:系统性审查和元分析
Fahim Kanani1, Nir Messer2, Majd Khalil2
1Department of Surgery, Tel Aviv Medical Center, Tel Aviv, Israel; Department of Surgery, Wolfson Medical Center, Tel Aviv, Israel; Department of Emergency, Wolfson Medical Center, Tel Aviv Israel.
The Journal of emergency medicine
|September 18, 2025
概括
标准化疼痛管理协议通过加快止痛和改善缓解,显著减少急诊部门的疼痛. 这些针对急性腹痛的有效方案不会妨碍诊断的准确性.
科学领域:
- 紧急医疗 紧急医疗
- 疼痛管理 疼痛管理
- 临床协议 临床协议
背景情况:
- 急性腹痛是一种常见的急诊室呈现.
- 目前的疼痛管理往往是低于最佳的,因为人们担心掩盖诊断.
- 本综述评估了针对腹部病理的标准化疼痛管理协议.
研究的目的:
- 评估标准化疼痛管理协议与急性腹痛的常规护理.
- 关键的结果包括止痛和缓解疼痛的时间.
- 该研究的重点是急诊室的成年患者.
主要方法:
- 在PubMed,科克伦图书馆和科学网络 (2000-2025) 的系统文献搜索.
- 包括的研究比较了标准化方案与常规护理在急性腹痛的成年人.
- 进行了元分析和偏差风险评估.
主要成果:
- 包括47项研究 (8347名患者).
- 标准化方案减少了42.7% (37.3分钟) 的止痛时间.
- 在疼痛减轻,患者满意度和诊断准确度方面,有显著的改善.
结论:
- 标准化疼痛管理方案对急性腹痛有效.
- 他们减少了止痛的时间,并改善了疼痛缓解,而不会影响诊断.
- 全球范围内建议在紧急部门实施.
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