在接受关节镜旋转手套修复的患者中,坚与阿片类药物消费模式无关
Rebekah M Kleinsmith1,2, Fernando A Huyke-Hernandez1,2, Megan Reams1
1Department of Orthopaedic Surgery, TRIA Orthopaedic Center, Bloomington, MN, USA.
JSES international
|February 25, 2026
概括
患者的坚,这是对长期目标的力和热情的衡量标准,在关节镜旋转手套修复 (ARCR) 后,与阿片类药物消费或疼痛结果无关. 这项研究没有发现高坚个体与手术后减少疼痛药物需求之间的联系.
科学领域:
- 整形外科手术 整形外科手术
- 疼痛管理 疼痛管理
- 心理学 心理学 心理学
背景情况:
- 旋转手套修复是一种常见的骨科手术.
- 手术后的疼痛管理和阿片类药物消费是令人担忧的重要问题.
- 患者的心理因素,如坚,可能会影响康复结果.
研究的目的:
- 为了调查患者坚和术后阿片类药物消费在关节镜旋转手套修复 (ARCR) 后之间的关联.
- 为了检查ARCR后的坚和疼痛/功能结果之间的关系.
主要方法:
- 对120名接受初级ARCR的患者进行了前性纵向研究.
- 标准化术后疼痛方案,包括氧化,易布洛芬和乙氨基.
- 主要结局:在前2周内消耗的吗啡毫克相当量 (MMEs).
- 二次结果:Grit-12,简要弹性得分 (BRS),疼痛灾难化量表 (PCS) 和VAS疼痛得分.
主要成果:
- 在手术前的Grit-12分数和手术后消耗的MMEs之间没有发现显著的相关性 (r = 0.06).
- 在高度和低度患者之间消费的MMEs没有统计差异.
- 在Grit-12和BRS,PCS或术后VAS得分之间没有显著的相关性.
- 大约有17%的患者需要补充阿片类药物,而坚群体之间没有差异.
结论:
- 患者的勇气似乎与ARCR后的前两周的阿片类药物消费无关.
- 弹性得分也显示,与阿片类药物使用或疼痛结果没有关联.
- 进一步的研究可能会探索其他影响旋转手套修复后恢复的心理因素.
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