在全膝关节关节整形手术后的术后疼痛管理中的种族差异
Kevin Purcell1, Taylor Stauffer1, Christopher Holland1
1Duke University, Durham, North Carolina.
Journal of surgical orthopaedic advances
|October 7, 2025
概括
与白人患者相比,非裔美国患者在膝关节全关节整形手术 (TKA) 之前和之后经历了更高的疼痛和阿片类药物使用. 这凸显了TKA患者疼痛管理方面的差异.
科学领域:
- 整形外科手术 整形外科手术
- 疼痛管理 疼痛管理
- 健康差异 在健康上的差异
背景情况:
- 在非洲裔美国人和白人患者之间,在全膝关节整形术 (TKA) 使用和疼痛管理方面存在种族差异.
- 有限的数据存在于膝关节骨关节炎的TKA后经手术期间疼痛管理的种族差异.
研究的目的:
- 调查在接受初级TKA的非裔美国人和高加索患者中进行术后疼痛管理的种族差异.
- 为了比较不同种族群体之间的疼痛评分,阿片类药物消费和补充率.
主要方法:
- 对804名接受初级TKA (2013-2022) 的非裔美国患者进行了回顾性研究.
- 根据ASA得分,年龄,性别和BMI,与高加索患者匹配2:1.
- 评估的人口统计数据和术后变量:疼痛评分,吗啡等价物,手术时间,停留时间和阿片类药物补充.
主要成果:
- 非洲裔美国患者在手术前的疼痛得分较高,在手术前和手术后的阿片类药物使用率更高.
- 显著更高的比例的非裔美国患者接受了阿片类药物处方和补充在90天内手术前和后.
- 非洲裔美国患者接受的手术内阿片类药物治疗显著减少.
结论:
- 在TKA后,在术后疼痛管理中观察到显著的种族差异.
- 这些差异的根本原因需要进一步调查.
- 标准化疼痛管理协议,包括阿片类药物指导方针,应适用于所有TKA患者,无论种族.
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