面部骨折手术治疗中的疼痛管理：阿片类药物使用的替代方法
Pain Management in Surgical Treatment of Facial Fractures: Alternative Approaches to Opioid Use.
作者信息
Tucker Jacqueline, Oxford Madison, Goldenberg Dana, Ziai Kasra, Lighthall Jessyka G
机构信息
Pennsylvania State University, College of Medicine, Hershey, PA, USA.
Department of Otolaryngology - Head and Neck Surgery, Pennsylvania State University, College of Medicine, Hershey, PA, USA.
出版信息
Craniomaxillofac Trauma Reconstr. 2024 Dec;17(4):NP319-NP331. doi: 10.1177/19433875241236869. Epub 2024 Mar 19.
STUDY DESIGN
Literature review.
OBJECTIVE
This review aims to explore current opioid use trends for surgical management of facial fractures, as well as methods and alternative treatments to decrease opioid use.
METHODS
Review of selected literature from Medline and Google Scholar.
RESULTS
Despite the devastating effects of the opioid epidemic and recent policy changes aimed at reducing unnecessary opioid prescription, opioids remain commonly used for pain management after facial fracture repair. Recently, use of multimodal analgesic therapy has been suggested to decrease opioid dosage utilized for post-operative pain control. Alternatives to medication therapies have been proposed for pain management; however, standardized recommendations for pain management in facial fracture patients remain unclear.
CONCLUSIONS
Further research is required to establish evidence-based recommendations for pain management in craniofacial fracture repair.
研究设计
文献综述。
目的
本综述旨在探讨目前面部骨折手术治疗中阿片类药物的使用趋势，以及减少阿片类药物使用的方法和替代治疗。
方法
对来自Medline和谷歌学术的选定文献进行综述。
结果
尽管阿片类药物流行带来了毁灭性影响，且近期有旨在减少不必要阿片类药物处方的政策变化，但阿片类药物仍常用于面部骨折修复后的疼痛管理。最近，有人建议使用多模式镇痛疗法来减少用于术后疼痛控制的阿片类药物剂量。有人提出了药物治疗的替代方法用于疼痛管理；然而，面部骨折患者疼痛管理的标准化建议仍不明确。
结论
需要进一步研究以建立颅面骨折修复中疼痛管理的循证建议。
Zotero 插件