使用多模式疼痛控制协议进行剖腹产的妇女的产后疼痛管理:一项回顾性研究
Alana Siwicki1, Rebecca M Adams2, Kiana Cabasa3
1Department of Obstetrics and Gynecology, Henry Ford St. John Hospital, 22101 Moross Rd, Detroit, MI, 48236, USA.
BMC pregnancy and childbirth
|December 24, 2025
概括
实施剖腹产后增强恢复 (ERAC) 协议显著减少了剖腹产后产后患者的阿片类药物使用. 虽然疼痛评分没有变化,但在手术后的最初几天里,吗啡毫等效剂 (MME) 的使用明显减少.
科学领域:
- 产科和妇科 产科和妇科
- 疼痛管理 疼痛管理
- 术后恢复 术后恢复
背景情况:
- 剖腹产是常见的大型手术,有可能引起严重的产后疼痛.
- 剖腹产后未经治疗的疼痛与阿片类药物使用增加,抑郁症和慢性疼痛有关.
- 剖腹产后增强恢复 (ERAC) 协议提供了一个多学科的方法来优化恢复.
研究的目的:
- 评估ERAC协议与多模式疼痛控制对产后剖腹产产痛的影响.
- 确定ERAC协议是否显著减少了这些患者的阿片类药物消费.
- 在ERAC实施后,评估疼痛评分和阿片类药物使用 (MME) 的变化.
主要方法:
- 200名妇女的回顾性图表审查 (100名2020年ERAC前,100名2022年ERAC后).
- 收集的数据包括人口统计,病史,疼痛评分和阿片类药物使用 (MME).
- 统计分析包括t测试,奇平方,曼·惠特尼U,相关性和回归.
主要成果:
- 两组之间产后疼痛得分没有显著差异.
- 在ERAC组中,在术后第1天和第2天的吗啡毫等效 (MME) 使用量显著减少.
- 多变量分析证实,在对共变量进行控制后,中小企业使用率下降.
结论:
- 随着多模式疼痛控制的 ERAC 协议,在术后第 1 和第 2 天,阿片类药物消耗 (MME) 显著降低.
- 在剖腹产后,ERAC协议并没有显著改变母亲的疼痛评分.
- 在剖腹产产后,ERAC的实施显示出减少阿片类药物依赖的前景.
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