长期作用的里尔皮维林后注射部位疼痛:在前性观察性研究中,没有与化时间的关联
Sergio Sabogal1, Teresa Martínez-Burgoa1, Adrián Valls-Carbó2
1Hospital Clínico San Carlos.
概括
在注射前让长效注射式里尔皮维林 (RPV-LA) 瓶达到室温并没有显著减少HIV患者注射部位疼痛. 年龄是疼痛强度的唯一一致预测因素,这表明目前的缓和建议可能不会大大影响患者的舒适度.
科学领域:
- 艾滋病毒/艾滋病研究研究
- 药理学 药理学是指药理学的学科.
- 临床医学 临床医学
背景情况:
- 长效注射式里尔皮维林 (RPV-LA) 对于艾滋病毒维持治疗至关重要.
- 注射部位疼痛是一种常见的不良事件,可能会影响治疗的坚持.
- 目前的指导方针建议将RPV-LA瓶调到室温,但临床证据有限.
研究的目的:
- 为了研究RPV-LA小瓶化时间和注射部位疼痛强度之间的关联.
- 为了确定遵守室温建议是否会影响HIV治疗期间的患者舒适性.
主要方法:
- 一项前性观察性研究,涉及179名参与者和195名RPV-LA注射.
- 在注射后立即使用视觉模拟量表 (VAS) 评估疼痛,并在第3天和第5天进行疼痛评估.
- 线性回归和混合效应模型被用来分析缓和时间,年龄和疼痛之间的关系.
主要成果:
- 炼时间的中位数为85分钟.
- 虽然单变量分析显示较长的化时间与较少的疼痛相关,但在多变量分析中,这并不重要.
- 年龄是唯一独立与减少注射部位疼痛相关的因素.
结论:
- 在现实环境中,RPV-LA小瓶化时间与注射部位疼痛没有独立联系.
- 年龄是疼痛强度的重要预测因素.
- 目前的调节指南可能无法显著改善患者的舒适度;需要进一步的研究.
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