Dwyer Maureen K, Melnic Christopher M, Tumpowsky Catharine, Humphrey Tyler, Hosseinzadeh Shayan, Bedair Hany S
Department of Orthopaedic Surgery, Massachusetts General Hospital, 55 Fruit St, Boston, MA, USA.
Kaplan Joint Center, Newton Wellesley Hospital, 2000 Washington St, Newton, MA, USA.
J Orthop. 2021 Dec 16;29:1-5. doi: 10.1016/j.jor.2021.12.001. eCollection 2022 Jan-Feb.
We sought to determine postoperative opioid consumption for opioid-naïve patients undergoing total knee and hip arthroplasty (THA and TKA) procedures via an observational cohort study, consisting of 55 patients who underwent either primary unilateral TKA (n = 28) or THA (n = 27). Patients were provided with a journal to track daily consumption of pain medicine. Patients were prescribed an average of 67 opioid pills post-operatively; however, they consumed an average of 31 pills (214 morphine equivalent doses - MED). TKA patients received (p = 0.01) and consumed (p = 0.005) higher amounts of opioids. On average, patients ceased opioid usage at 14 days post-operatively.
我们试图通过一项观察性队列研究来确定初次使用阿片类药物的患者在接受全膝关节置换术(TKA)和全髋关节置换术(THA)后的阿片类药物消耗量,该研究包括55例接受初次单侧TKA(n = 28)或THA(n = 27)的患者。为患者提供了一本日志,用于记录每日止痛药的消耗量。患者术后平均被开具67片阿片类药物;然而,他们平均服用了31片(214吗啡当量剂量 - MED)。TKA患者接受(p = 0.01)和服用(p = 0.005)的阿片类药物量更高。平均而言,患者在术后14天停止使用阿片类药物。