سامانه مدیریت نشریات علمی دانشگاه علوم پزشکی مشهد

زینال‌زاده, مینا, نظری, دکتر مهدی, رضایی, دکتر منصور. (1402). اختلال سوء مصرف مواد مخدر و نحوه مدیریت آن در زنان دارای سابقه سزارین: یک مرور نظام‌مند از مقالات مروری نقلی. , 26(8), 90-103. doi: 10.22038/ijogi.2023.23404
مینا زینال‌زاده; دکتر مهدی نظری; دکتر منصور رضایی. "اختلال سوء مصرف مواد مخدر و نحوه مدیریت آن در زنان دارای سابقه سزارین: یک مرور نظام‌مند از مقالات مروری نقلی". , 26, 8, 1402, 90-103. doi: 10.22038/ijogi.2023.23404
زینال‌زاده, مینا, نظری, دکتر مهدی, رضایی, دکتر منصور. (1402). 'اختلال سوء مصرف مواد مخدر و نحوه مدیریت آن در زنان دارای سابقه سزارین: یک مرور نظام‌مند از مقالات مروری نقلی', , 26(8), pp. 90-103. doi: 10.22038/ijogi.2023.23404
زینال‌زاده, مینا, نظری, دکتر مهدی, رضایی, دکتر منصور. اختلال سوء مصرف مواد مخدر و نحوه مدیریت آن در زنان دارای سابقه سزارین: یک مرور نظام‌مند از مقالات مروری نقلی. , 1402; 26(8): 90-103. doi: 10.22038/ijogi.2023.23404

اختلال سوء مصرف مواد مخدر و نحوه مدیریت آن در زنان دارای سابقه سزارین: یک مرور نظام‌مند از مقالات مروری نقلی

مجله زنان، مامایی و نازایی ایران
دوره 26، شماره 8، آبان 1402، صفحه 90-103    اصل مقاله (728.16 K)
نوع مقاله: مروری
شناسه دیجیتال (DOI): 10.22038/ijogi.2023.23404
نویسندگان
مینا زینال‌زاده1؛ دکتر مهدی نظری2؛ دکتر منصور رضایی* 2
1کارشناس ارشد علوم تشریح، دانشکده پزشکی، دانشگاه علوم پزشکی تبریز، تبریز، ایران.
2استادیار گروه بیهوشی، مرکز تحقیقات سل و بیماری‌های ریوی، دانشکده پزشکی، دانشگاه علوم پزشکی تبریز، تبریز، ایران.
چکیده
مقدمه: زنان مبتلا به اختلال سوء مصرف مواد مخدر احتمالاً حین و پس از زایمان به مقادیر بیشتری از مواد مخدر برای بی‌دردی نیاز دارند؛ با این‌حال به‌دلیل محدود بودن تعداد مطالعات در این زمینه، مطالعه حاضر با هدف اختلال سوء مصرف مواد مخدر و نحوه مدیریت آن در زنان با سابقه سزارین انجام شد.
روش‌کار: در این مطالعه مرور سیستماتیک که در طی بازه زمانی سال 2000 تا شش ماهه ابتدایی سال 2022 انجام شد، جهت یافتن مقالات مرتبط (منتشر شده به دو زبان فارسی و انگلیسی) پایگاه­ های اطلاعاتی PubMed،EMBASE ، Cochrane Library، Web Of science، Scopus، Mag-Iran و SID با کلیدواژه ­های درد، شدت درد، درد حاد، درد مزمن اوپیوئید، سزارین، زایمان سزارین، اختلال سوء مصرف مواد مخدر، مدیریت درد، پیشگیری و بی‌دردی مورد جستجو قرار گرفتند.
یافته ­ها: زنان با سابقه سزارین که دارای اختلالات مصرف مواد مخدر هستند، با چالش‌های منحصر به‌فردی در دسترسی به درمان و حمایت مناسب مواجه می‌باشند. نتایج بر اهمیت مدل‌های مراقبت تلفیقی را که هم جنبه‌های فیزیکی و هم جنبه‌های روانی مدیریت اختلال مصرف مواد را مورد توجه قرار می‌دهند، تمرکز دارند. علاوه بر این، مداخلات تخصصی متناسب با نیازهای این جمعیت، مانند مراقبت‌های آگاهانه از تروما و برنامه‌های مصرف مواد پری‌ناتال، در بهبود نتایج مؤثر می‌باشند.
نتیجه ­گیری: کنترل بهینه درد پس از سزارین در زنان با اختلال سوء مصرف مواد مخدر شامل یک استراتژی چندوجهی با استفاده از مواد مخدر داخل نخاعی یا اپیدورال، استامینوفن و عوامل ضدالتهاب غیراستروئیدی به‌عنوان خط اول است.
کلیدواژه‌ها
اختلال سوء مصرف مواد مخدر؛ درد؛ سزارین؛ مدیریت
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