在急性疼痛的成年人中拯救阿片类药物消费的最小重要差异:范围审查
Atena Saito1,2, Jens Laigaard3,4, Pernille Bjersand Sunde1
1Department of Anesthesia and Intensive Care, Copenhagen University Hospital - Bispebjerg and Frederiksberg, Copenhagen, Denmark.
European journal of pain (London, England)
|November 6, 2025
概括
这项研究估计了急性疼痛中救援阿片类药物消费的最小重要差异 (MID),建议临时MID为5毫克IV吗啡等价物. 这一发现对于优化临床试验中的疼痛管理和样本大小计算至关重要.
科学领域:
- 疼痛管理 疼痛管理
- 药理学 药理学是指药理学的学科.
- 临床研究方法论 临床研究方法论
背景情况:
- 最小重要的差异 (MID) 建立在疼痛强度上,但不是在急性疼痛中用于救援阿片类药物的消费.
- 这种差距阻碍了对治疗在急性疼痛管理中的有效性的准确评估.
研究的目的:
- 估计急性疼痛的成年患者的救援阿片类药物消费的最小重要差异 (MID).
- 专注于术后和紧急情况下的设置.
主要方法:
- 从研究开始到2024年5月,对以英语出版的研究进行范围审查.
- 在 MEDLINE,Embase,CENTRAL,clinicaltrials.gov 和clinicaltrialsregister.eu.eu 上进行了搜索.
- 包括研究调查救援阿片类药物消费的MID和剂量反应关系的研究,与像疼痛强度得分这样的.
主要成果:
- 选了 11,748 个引用,包括 14 个涉及 8190 名患者的研究.
- 三项研究直接评估了MID;11项研究使用疼痛强度得分作为点估计了MID.
- 基于MID的基估计范围从2到5毫克的IV吗啡等价物.
结论:
- 建议为急性疼痛中救援阿片类药物消费提供5毫克IV吗啡相当的临时MID.
- 这个值低于通常用于样本大小计算的值.
- 结果可以为样本大小计算提供信息,并促进以患者为中心的急性疼痛护理.
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