手术病房中术后止痛药的使用途径:实践与指导方针以及经济影响
Suzana Bojic1,2, Nebojsa Ladjevic2,3, Ivan Palibrk2,3
1Department of Anesthesiology and Intensive Care, University Hospital Medical Centre "Dr. Dragisa Misovic - Dedinje", Belgrade, Serbia.
Frontiers in medicine
|November 17, 2025
概括
塞尔维亚外科病房中口服止痛药的使用不足,尽管指南建议在术后恢复时使用. 转向口服 (PO) 疼痛管理可以显著降低85%.
科学领域:
- 麻醉学和疼痛管理
- 卫生经济学 卫生经济学
- 手术护理 手术护理
背景情况:
- 多模式止痛对于术后恢复至关重要,口服 (PO) 途径是非侵入性,成本效益和有效性的首选途径.
- 塞尔维亚目前的手术病房实践与止痛药的使用途径没有得到充分的记录,违背了既定的指导方针.
- 了解与指导方针的偏差及其经济影响对于优化患者护理和资源配置至关重要.
研究的目的:
- 评估塞尔维亚外科病房的止痛实践是否符合当前的多模式止痛指南.
- 评估当前止痛药的管理实践的经济影响和遵守指南的潜在节省.
主要方法:
- 分析了塞尔维亚10家医院2,354名成年手术患者的数据,使用了PAIN OUT方法.
- 在术后的前24小时内观察止痛药的服用途径 (PO,IV,IM).
- 通过考虑药物,一次性产品和劳动力,从亲肠道转向PO止痛,计算潜在的成本节约.
主要成果:
- 静脉注射 (IV) 途径主导了止痛 (86%的非阿片类药物,39%的阿片类药物),只有1%的人使用PO路径.
- 即使在PO的患者中,PO的管理是可行的 (1850人),亲肠道途径仍然占主导地位.
- 过渡到PO止痛可以降低85%的成本,从每名患者的约7.84美元降至1.19美元.
结论:
- 在塞尔维亚外科病房推的止痛方法和实际实施之间存在很大的差距,PO路线的使用不足证明了这一点.
- 增加口服止痛药的使用,为降低手术后疼痛管理成本提供了巨大的机会.
- 将实践与指导方针相协调,可能会导致更有效,更具成本效益的患者康复.
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