在选择性结直肠切除后的离院后阿片类药物处方:一项国际调查
Ghadeer Olleik1,2,3, Hiba Elhaj2,3, Samin Shirzadi2,3
1Department of Surgery, McGill University, Montreal, Quebec, Canada.
World journal of surgery
|January 29, 2026
概括
在结直肠手术后,全球阿片类药物处方因地区而异. 这项研究强调,需要重新评估在接受选择性结直肠切除的患者中,退院后的常规阿片类药物使用情况.
科学领域:
- 手术瘤学手术瘤学
- 疼痛管理 疼痛管理
- 公共卫生 公共卫生
背景情况:
- 过度的阿片类药物处方后结直肠手术有助于不良事件和阿片类药物危机.
- 了解国际处方模式对于临床实践和研究至关重要.
- 结肠直肠手术后止痛 (ACORE) 调查调查了全球阿片类药物处方实践.
研究的目的:
- 在选择性结直肠切除后描述国际阿片类药物处方实践.
- 确定与出院后阿片类药物处方相关的因素.
- 为了评估阿片类药物处方数量的变化.
主要方法:
- 一项针对外科医生和实习生的国际横截面调查.
- 雪球采样利用了国际外科协会,社交媒体和个人网络.
- 使用描述性统计和贝叶斯模型平均值分析的数据.
主要成果:
- 在817名参与者中,57%的参与者在出院后处方了阿片类药物 (55%开放,54%微创).
- 处方率因地区而异,从0% (北非) 到100% (澳大利亚/新西兰).
- 实践地区是唯一独立与阿片类药物处方相关的因素.
结论:
- 在结直肠手术后,阿片类药物处方存在显著的全球差异.
- 突出了临床平衡,关于离院后阿片类药物的必要性.
- 质疑了在这个患者群体中普遍需要退院后使用阿片类药物的假设.
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