Bougie Olga, Blom Jessica, Zhou Grace, Murji Ally, Thurston Jackie
Department of Obstetrics & Gynecology, Queen's University, Kingston Health Sciences Centre, Kingston, ON, USA.
Department of Obstetrics & Gynecology, Queen's University, Kingston Health Sciences Centre, Kingston, ON, USA.
Best Pract Res Clin Obstet Gynaecol. 2022 Dec;85(Pt B):23-34. doi: 10.1016/j.bpobgyn.2022.07.005. Epub 2022 Jul 18.
Postoperative opioid use following gynecologic surgery may be necessary for effective treatment of pain; however, it can result in significant side effects, adverse reactions, and negative health consequences, including prolonged problematic use. Surgeons and healthcare providers of patients recovering from gynecologic procedures should be aware of effective strategies that can decrease the need for opioid use, while providing high-quality pain management. These include adherence to Enhanced Recovery After Surgery Protocols, particularly the use of multimodal analgesia management. When prescribing opioids, providers should adhere to responsible prescribing practices to minimize the risk of inappropriate and/or long-term opioid use.
妇科手术后使用阿片类药物可能是有效治疗疼痛所必需的；然而，它可能会导致严重的副作用、不良反应和负面健康后果，包括长期的问题使用。妇科手术康复患者的外科医生和医疗服务提供者应了解有效的策略，这些策略可以减少阿片类药物的使用需求，同时提供高质量的疼痛管理。这些策略包括遵守术后加速康复方案，特别是使用多模式镇痛管理。在开具阿片类药物处方时，医疗服务提供者应遵循负责任的处方做法，以尽量减少不适当和/或长期使用阿片类药物的风险。
