患者报告的物质使用与术后疼痛的关联
Micaela Quinn Dugan1,2, Dominic Alessio1,3, Chenxun Xie1,4
1Overdose Prevention Engagement Network (OPEN), Ann Arbor, Michigan, USA.
Regional anesthesia and pain medicine
|February 4, 2026
概括
通过烟草,酒精,处方药和其他物质使用 (TAPS) 调查问卷识别的术前物质使用与术后疼痛增加有关. 对手术患者的早期评估和干预对于控制疼痛和改善康复至关重要.
科学领域:
- 麻醉学和疼痛管理
- 外科手术患者的结果
- 公共卫生和物质使用
背景情况:
- 药物使用在手术患者中很普遍,通常与较高的阿片类药物消费有关.
- 术前物质使用对术后疼痛的影响仍未得到充分研究.
- 烟草,酒精,处方药和其他物质使用 (TAPS) 问卷提供了一种简洁的方法来评估物质使用风险.
研究的目的:
- 调查TAPS问卷测量的手术前物质使用与患者报告的疼痛水平之间的关联.
- 评估TAPS问卷在识别患有疼痛控制不良风险的外科病人的有用性.
主要方法:
- 一项前性队列研究包括4410名接受常见外科手术的成年患者.
- 患者在手术前完成了TAPS问卷,以选烟草,酒精,娱乐性药物和非处方药的使用.
- 混合线性模型分析了TAPS得分和最严重的整体疼痛在基线,2周和术后1个月之间的关系.
主要成果:
- 42.2%的患者通过TAPS进行了不健康物质使用查,结果呈阳性.
- 阳性TAPS查与术前 (3.51对3.15) 和术后1个月 (2.66对2.41) 的明显更高的最严重整体疼痛得分相关.
- 在2周的术后标记时,没有发现明显的疼痛差异.
结论:
- 术前使用药物很常见,并与术后疼痛增加有关,尽管差异在临床上可能很小.
- 这些初步发现强调了在术后期处理物质使用的重要性.
- 术后窗口为评估和干预不健康物质使用行为提供了关键机会.
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