在腰椎切除术后,阿片类药物和处方非阿片类药物的使用量减少
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Updated: Jan 14, 2026

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Full-Endoscopic Transforaminal Approach for Lumbar Discectomy
Published on: September 8, 2023
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Philip P Ratnasamy1, Gwyneth C Maloy1, John Slevin1
1Department of Orthopedics & Rehabilitation, Yale School of Medicine, 333 Cedar Street, New Haven, CT, 06510, USA.
North American Spine Society journal
|October 23, 2025
概括
腰椎切除术后的阿片类药物处方在2010年至2021年期间明显下降了80%以上. 非阿片类药物止痛药的使用量也下降,这表明转向非药物止痛策略.
科学领域:
- 神经外科 神经外科
- 疼痛管理 疼痛管理
- 医疗保健服务研究 医疗服务研究
背景情况:
- 腰椎切除术是根部症状的常见手术.
- 越来越多地强调减少阿片类药物依赖和采用多式联络方式的疼痛管理.
- 这项研究检查了腰椎间盘切除术后的疼痛处方趋势.
研究的目的:
- 评估腰椎切除术后疼痛治疗处方的趋势.
- 评估阿片类和非阿片类止痛药使用的变化.
- 为了确定与阿片类药物处方术后相关的因素.
主要方法:
- 对腰椎切除术患者的大型行政数据库 (2010-2021) 的分析.
- 排除药物滥用,瘤或之前/同时进行的脊柱手术的患者.
- 在手术后90天内评估疼痛药物处方 (阿片类药物和其他药物) 和吗啡毫克相当剂 (MME).
主要成果:
- 从2010年到2021年,阿片类药物处方减少了81.7% (每1000次手术中从531.7降至97.1).
- 总的非阿片类药物处方减少了66.9% (527.9至174.9每1000次手术).
- 每例阿片类MME下降了90.7% (262.8至24.6).
结论:
- 在过去的十年中,腰椎间盘切除术后处方阿片类药物的数量大幅下降.
- 非阿片类药物处方也在下降,可能是由于增加了无处方多式联络疼痛管理的使用.
- 对非药物治疗疼痛管理策略的进一步研究是有必要的.
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