优化术后阿片类药物处方在接受全部或膝关节关节整形手术的退伍军人中
Taylor Lueder1, Brittany Faley1, Tamara Dixon1
1Kansas City Veterans Affairs Medical Center, Kansas City, Missouri, USA.
Journal of pain & palliative care pharmacotherapy
|January 28, 2026
概括
在关节或膝关节置换手术后处方阿片类药物显示出不一致. 许多患者接受了阿片类药物,尽管他们不需要它们,这表明需要标准化疼痛管理协议.
科学领域:
- 整形外科手术 整形外科手术
- 疼痛管理 疼痛管理
- 药理学 药理学是指药理学的学科.
背景情况:
- 在骨科手术后处方阿片类药物会带来诸如依赖和过度处方等风险.
- 在全关节整形术 (THA) 和全膝关节整形术 (TKA) 后优化疼痛管理至关重要.
研究的目的:
- 为了评估在经过THA或TKA的先驱退伍军人中进行阿片类药物治疗后的阿片类药物处方模式.
- 为了识别阿片类药物使用和质量改进的文档的变化.
主要方法:
- 在一个VA医疗中心对142名先前未使用过阿片类药物的退伍军人进行了回顾性分析.
- 检查2023年9月至2024年9月期间对THA和TKA患者的阿片类药物处方数据.
主要成果:
- 膝盖关节整形术 (TKA) 患者的每日用量与关节整形术 (THA) 患者相比,接受了更高的吗啡相当剂量 (MEDD).
- 尽管最近没有住院患者使用阿片类药物,但有11%的患者获得了阿片类药物.
- 观察到不一致的处方和文档实践.
结论:
- 研究结果强调了改善术后阿片类药物处方和文档的重大机会.
- 建议包括标准化的多模式止痛,促进非阿片类止痛药和纳洛联合处方.
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