Singh Gursimran, Dhaniwala Nareshkumar, Jadawala Vivek H, Salwan Ankur, Batra Nitish
Orthopaedics, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.
Medicine, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.
Cureus. 2024 Aug 30;16(8):e68237. doi: 10.7759/cureus.68237. eCollection 2024 Aug.
Total hip replacement (THR) is a common surgical procedure aimed at alleviating pain and improving function in patients with hip joint pathology. Effective postoperative pain management is crucial for patient recovery, satisfaction, and overall outcomes. This narrative review examines the comparative efficacy, safety, and implications of using opioids versus non-opioid analgesics in managing postoperative pain following THR. Opioids, while effective for severe pain, pose significant risks such as addiction, tolerance, and adverse effects. Non-opioid analgesics, including non-steroidal anti-inflammatory drugs (NSAIDs), acetaminophen, and regional anesthesia techniques, offer alternatives with potentially fewer side effects. This review synthesizes current evidence from clinical trials, observational studies, and expert guidelines to provide a comprehensive understanding of the benefits and drawbacks of each analgesic approach. The goal is to inform clinical decision-making and optimize pain management strategies for THR patients, balancing efficacy and safety.
全髋关节置换术（THR）是一种常见的外科手术，旨在缓解髋关节病变患者的疼痛并改善其功能。有效的术后疼痛管理对于患者的康复、满意度及总体预后至关重要。本叙述性综述探讨了在全髋关节置换术后疼痛管理中使用阿片类药物与非阿片类镇痛药的疗效对比、安全性及影响。阿片类药物虽然对重度疼痛有效，但存在成瘾、耐受性及不良反应等重大风险。非阿片类镇痛药，包括非甾体抗炎药（NSAIDs）、对乙酰氨基酚及区域麻醉技术，提供了副作用可能较少的替代方案。本综述综合了来自临床试验、观察性研究及专家指南的现有证据，以全面了解每种镇痛方法的利弊。目标是为临床决策提供依据，并优化全髋关节置换术患者的疼痛管理策略，平衡疗效与安全性。
