翻修全髋关节置换术与初次全髋关节置换术相比，在急性术后期间阿片类药物的消耗明显更高。
Revision total hip arthroplasty is associated with significantly higher opioid consumption as compared to primary total hip arthroplasty in the acute postoperative period.
机构信息
Division of Orthopedics - Adult Joint Reconstruction, NYU Langone, New York, NY, USA.
Insall-Scott-Kelly Institute, New York, NY, USA.
出版信息
Hip Int. 2020 Sep;30(1_suppl):59-63. doi: 10.1177/1120700020938324.
BACKGROUND
There are currently a lack of investigations that characterised narcotic utilisation following revision total hip arthroplasty (THA). We sought to determine if immediate post-surgical opioid use was different between revision THA and primary THA.
METHODS
A single institution total joint arthroplasty database was used to identify adult patients who underwent revision THA or primary THA from 2016 to 2019. Morphine milligram equivalents (MME) were calculated for different time periods.
RESULTS
6977 patients were identified, 89.72% primary THA and 10.28% revision THA. Aggregate opioid consumption was higher for revision THA patients (317.40 MME vs. 93.01 MME), as was opioid consumption in the first 24 hour and second 24-hour periods. Visual analogue pain (VAS) scores were significantly higher in the 0-12 hour postoperative and the 12-24 hours postoperative periods in the revision THA group.
CONCLUSIONS
Patients undergoing revision THA had significantly higher narcotic utilisation than those undergoing primary THA, particularly in the first 24 hours postoperatively.
背景
目前缺乏对翻修全髋关节置换术（THA）后阿片类药物使用情况进行描述的研究。我们旨在确定翻修 THA 和初次 THA 术后即刻使用阿片类药物是否存在差异。
方法
使用单机构全关节置换数据库，确定 2016 年至 2019 年期间接受翻修 THA 或初次 THA 的成年患者。计算不同时间段的吗啡毫克当量（MME）。
结果
共纳入 6977 例患者，其中 89.72%为初次 THA，10.28%为翻修 THA。翻修 THA 患者的总体阿片类药物消耗量较高（317.40MME 比 93.01MME），术后 24 小时和 48 小时内的阿片类药物消耗量也较高。在翻修 THA 组中，术后 0-12 小时和 12-24 小时的视觉模拟疼痛（VAS）评分明显更高。
结论
与初次 THA 相比，翻修 THA 患者的阿片类药物用量明显更高，尤其是术后 24 小时内。
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