开放腹部泌尿外科手术后的持续释放阿片类药物:一项随机对照研究
Natalie Vankka1, Dylan Hollman1, Sunita Ghosh2
1Faculty of Medicine and Dentistry, University of Alberta, Edmonton, AB, Canada.
短期,低剂量,持续释放的摩没有改善泌尿外科手术后的早期出行情况,与单独的即时释放摩相比. 疼痛评分和阿片类药物消费在各组之间是相似的.
科学领域:
- 麻醉学 麻醉学
- 药理学 药理学是指药理学的学科.
- 外科手术的结果
背景情况:
- 持续释放的阿片类药物具有风险,但它们在监控环境中短期用于急性疼痛缺乏强有力的证据.
- 立即释放和持续释放的阿片类药物都用于术后疼痛管理.
研究的目的:
- 为了评估短期,低剂量持续释放的摩能否在泌尿外科手术后比单独的即时释放摩能更早地进行出行.
主要方法:
- 随机试验比较持续释放的摩素加如需要的立即释放的摩素与只需要的立即释放的摩素.
- 主要结局:在大型开放腹部泌尿外科手术后行走三步的时间.
主要成果:
- 在第一次动员的时间,阿片类药物的总消费量或组之间的疼痛得分之间没有显著差异.
- 立即释放组中恶心和睡眠障碍增加的趋势在统计学上并不显著.
结论:
- 短期,低剂量持续释放的水利摩尔并没有加强大泌尿外科手术后的早期动员.
- 两种止痛疗法之间没有观察到疼痛控制或阿片类药物使用的显著差异.
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