印度的阿片类药物的医疗使用,滥用和转移
M R Rajagopal1, D E Joranson, A M Gilson
1Pain and Palliative Care Clinic, Medical College, 673008, Calicut, India. pain@vsnl.com
Lancet (London, England)
|July 21, 2001
概括
在印度,口服吗啡在两年内安全地用于1723名患者的家庭止痛. 这项研究没有发现阿片类药物滥用或转移的证据,这在不发达国家挑战了严格的法规.
科学领域:
- 医学研究 医学研究
- 药理学 药理学是指药理学的学科.
- 公共卫生 公共卫生
背景情况:
- 由于旨在防止滥用和转移的严格法规,在较不发达国家,阿片类药物用于缓解疼痛的可用性受到限制.
- 这些规定往往会阻碍需要的患者获得像吗啡这样的必需止痛药.
研究的目的:
- 评估口服吗啡在印度门诊家庭护理疼痛管理中的安全性和有效性.
- 调查阿片类药物滥用和转移在自由化开药实践的背景下的流行情况.
主要方法:
- 一项前性研究跟踪了1723名在印度卡利库特的门诊家庭护理基础上接受口服吗啡治疗疼痛的患者.
- 数据收集持续了两年,重点是识别任何滥用或转移处方阿片类药物的情况.
主要成果:
- 在为期两年的研究期间,在1723名患者中没有发现口服吗啡的滥用或转移病例.
- 这些发现表明,口服吗啡可以安全地分发,并被患者用于印度的家庭止痛药.
结论:
- 在印度等不发达国家,可以安全地给患者注射口服吗啡用于家庭使用,这与人们担心滥用广泛存在的担忧相反.
- 息护理计划应该与当局和媒体接触,倡导改善阿片类药物的医疗用途可用性,并提高认识.
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