Opioidinių analgetikų vartojimas iki operacijos sukelia didesnį skausmą po kelio sąnario operacijos

Opioidinių analgetikų vartojimas iki operacijos sukelia didesnį skausmą po kelio sąnario operacijos

Mokslininkų teigimu, planuojant kelio sąnario protezavimo operaciją, reikėtų iš anksto aptarti, kokius skausmą malšinančius vaistus pacientas turėtų vartoti prieš ir po operacijos. Pasirodo, prieš operaciją vartojami opioidai yra susiję su stipresnio skausmo jutimu po operacijos.

Kelio sąnarys dažniausia protezuojamas tuomet, kai kelio sąnarys susidėvi ir sukelia stiprų skausmą, sutrikdo funkciją dėl osteoartrito. Gana ilgą laiką iki operacijos pacientai jaučia nemalonius simptomus, kuriuos malšina fiziniais pratimais, injekcijomis, įvairių grupių skausmą malšinančiais vaistais. Neseniai atliktame tyrime mokslininkai analizavo, kokią įtaką opioidinių analgetikų vartojimas iki kelio sąnario operacijos turėjo pooperaciniams rezultatams.

Mokslininkai iš Bostono (Jungtinės Amerikos Valstijos) tyrimui atrinko 156 pacientus, kuriems atlikta kelio sąnario protezavimo operacija. Tiriamųjų amžiaus vidurkis buvo 66 metai. 23 proc. tiriamųjų iki operacijos buvo vartoję opioidinius analgetikus kelio sąnario patologijos sukeltam skausmui malšinti. Tyrimo rezultatai atskleidė, kad opioidus iki operacijos vartoję asmenys, turėjo 9 proc. mažesnį skausmo palengvėjimą praėjus 6 mėnesiams po operacijos, palyginti su asmenimis, kurie šios grupės vaistų nebuvo vartoję.

Parengta pagal http://www.medicinenet.com/script/main/art.asp?articlekey=203790


139 mintys apie “Opioidinių analgetikų vartojimas iki operacijos sukelia didesnį skausmą po kelio sąnario operacijos

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