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肩关节置换术后的疼痛控制:重新思考阿片类药物的需求。

Postoperative Pain Control Following Shoulder Arthroplasty: Rethinking the Need for Opioids.

机构信息

Atrium Health Musculoskeletal Institute, Charlotte, NC, USA; Atrium Health, Carolinas Medical Center, 1000 Blythe Boulevard, Charlotte, NC 28203, USA.

Atrium Health Musculoskeletal Institute, Charlotte, NC, USA; Atrium Health, Carolinas Medical Center, 1000 Blythe Boulevard, Charlotte, NC 28203, USA; OrthoCarolina, Charlotte, NC, USA.

出版信息

Orthop Clin North Am. 2023 Oct;54(4):453-461. doi: 10.1016/j.ocl.2023.04.005. Epub 2023 Jun 11.

Abstract

The use of opioid pain medication regimens to control perioperative pain has led to significant patient and societal consequences. There are several alternative, opioid-sparing and opioid-minimizing pain regimens that have been shown to provide equal, if not superior, pain relief with fewer secondary consequences. This article provides an in-depth review of the current evidence regarding efficacy, safety, and feasibility of a perioperative opioid-sparing clinical pathway for patients undergoing shoulder arthroplasty.

摘要

阿片类药物疼痛管理方案被广泛用于围手术期疼痛控制,但由此带来了严重的患者和社会问题。目前已有多种非阿片类药物、减少阿片类药物用量的疼痛管理方案,这些方案在提供同等甚至更优疼痛缓解效果的同时,产生的副作用更少。本文深入探讨了在肩关节置换患者中实施围手术期阿片类药物节约型临床路径的有效性、安全性和可行性的现有证据。

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