在手术前使用阿片类药物对疼痛有负面影响,并在关节透镜检查2年后达到预期
Sourabh Vellala1, Kathleen Healey1, Michael A McCurdy1
1Department of Orthopaedics, University of Maryland School of Medicine, Baltimore, MD, USA.
Journal of orthopaedics
|January 9, 2026
概括
手术前使用阿片类药物对关节透视术后2年患者报告的结果产生负面影响,疼痛,疲劳和活动水平恶化. 这强调了在手术前解决阿片类药物使用的重要性.
科学领域:
- 整形外科手术 整形外科手术
- 疼痛管理 疼痛管理
- 患者报告的结果
背景情况:
- 整形外科手术患者的手术前阿片类药物使用率很高.
- 手术前使用阿片类药物与其他骨科手术中较差的结果有关.
- 关于手术前使用阿片类药物对关节镜检查结果2年影响的数据有限.
研究的目的:
- 为了研究手术前阿片类药物使用对患者报告的结果 (PROs) 的影响,在关节镜检查后2年.
- 测试该假设,手术前阿片类药物使用与2年随访时更糟糕的疼痛,功能和心理健康有关.
主要方法:
- 关节透镜患者的回顾性分析 (2015年10月至2022年2月).
- 收集PRO,包括患者报告结果测量信息系统 (PROMIS) 领域,在基线和2年.
- 通过处方药监测计划 (PDMP) 识别手术前阿片类药物使用情况,量化为吗啡毫克相当量 (MME).
主要成果:
- 手术前使用阿片类药物与基线和2年PROMIS疲劳,泰格纳活动量表 (TAS) 和马克思活动评分表下肢 (MARS LE) 的较差相关.
- 较高的手术前MME预测较差的2年肌肉骨结果数据评估和管理系统 (MODEMS) 符合预期.
- 手术前使用阿片类药物与手术后部的2年数值疼痛量表 (NPS) 的改善较小.
结论:
- 手术前使用阿片类药物与PROs的减少有关,包括疲劳和活动水平,关节镜检查后2年.
- 手术前的阿片类药物消费独立地预测了较差的功能结果和未满足的期望.
- 研究结果强调了手术前阿片类药物使用对关节透视术后康复和预期的负面影响.
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