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耳鼻喉科医生对急性耳鼻病症疼痛管理的评估:一个案例对照研究

Karin Stoliar¹, Gibril Ali Mustafa¹, Sabri El Saied¹

¹Department of Otolaryngology-Head and Neck Surgery, Soroka University Medical Center, Be'er-Sheva, Israel.

The Annals of otology, rhinology, and laryngology

|December 31, 2025

概括

对急性耳部感染的疼痛管理不足,耳鼻喉科医生未充分利用综合策略. 需要标准化的协议来改善急性外耳和中耳炎等疾病的止痛护理.

科学领域:

耳鼻喉科耳鼻喉科耳鼻喉科
疼痛管理疼痛管理
传染性疾病传染性疾病

背景情况:

急性传染性耳部疾病,包括急性外部耳炎 (AOE),急性中耳炎 (AOM) 和状耳膜炎 (BM),是医疗访问的常见原因.
在这种情况下,有效的疼痛管理对于患者的舒适性和恢复至关重要.

研究的目的:

评估耳鼻喉科医生对急性传染性耳鼻病的疼痛评估和管理策略.
分析重复访问率及其与疼痛,人口统计和临床因素的相关性.

主要方法:

这是一项追溯病例控制研究,涉及478名患者 (316名AOE,95名AOM/BM),与67名尿素质症对照进行了比较.
收集的数据包括人口统计,临床变量,疼痛记录,治疗和出院计划.

主要成果:

耳科患者报告的平均疼痛分数 (VAS 5.0) 比对照组 (VAS 6.7) 低.
与对照组 (72.6%的ED治疗,71.2%的出院计划) 相比,耳科患者的疼痛管理不那么全面 (12-13%的ED治疗,6-14.8%的全面出院计划).
阿片类药物单一治疗在耳科组 (86-90%) 中普遍存在,与对照组中基于NSAID的疗法形成鲜明对比.

结论:

在急性耳病的疼痛管理方面存在重大缺陷.
不足够的培训和遵守指导方针需要提高止痛药的意识和标准化耳鼻喉学协议.

关键词:

急性耳鼻病的情况.镇痛策略镇痛策略临床实践指南临床实践指南耳鼻喉科耳鼻喉科耳鼻喉科疼痛管理疼痛管理

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