睡眠手术后的术后处方模式:国际提供者调查研究
Amrita N Bhat1, Leyda S Marrero Morales2, Jolie L Chang1,3
1Department of Otolaryngology Head and Neck Surgery University of California San Francisco San Francisco California USA.
Laryngoscope investigative otolaryngology
|January 30, 2026
概括
在睡眠手术后的阿片类药物处方在全球范围内有很大的差异. 美国外科医生比国际同行处方更多的阿片类药物,受患者因素和滥用担忧的影响.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 睡眠手术 睡眠手术
- 疼痛管理 疼痛管理
背景情况:
- 在睡眠手术后的阿片类药物处方模式需要描述.
- 了解国际变异对于优化疼痛管理至关重要.
研究的目的:
- 在进行睡眠手术的耳鼻喉科医生中描述国际阿片类药物处方模式.
- 确定影响这些处方决定的因素.
主要方法:
- 一个横截面的在线调查被分发给国际睡眠外科协会 (ISSS) 的成员.
- 来自北美,欧洲和南美的88名耳鼻喉科医生和医疗保健专业人员完成了调查.
主要成果:
- 87%的提供者在 palatal手术后常规处方阿片类药物,其中95%的美国外科医生为所有palatoplasty后患者开处方,而国际上为32%.
- 与国际医疗服务提供者相比,美国医疗服务提供者在 palatopharynngoplasty 后对每位患者处方的阿片类药片数量显著增加.
- 70%的受访者报告了下神经刺激 (HNS) 手术后的术后阿片类药物处方,其中90%的美国提供者处方,而国际上为0%.
结论:
- 在睡眠手术后的阿片类药物处方中存在显著的国际差异.
- 患者因素 (慢性疼痛史,年龄,偏好) 和提供者关注 (滥用,非阿片类药物止痛) 影响处方模式.
- 这些发现凸显了睡眠手术中疼痛管理的复杂性.
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