相关实验视频
Updated: Jan 26, 2026

10:29
Principles of Rodent Surgery for the New Surgeon
Published on: January 6, 2011
117.2K
手术后不适当的阿片类药物处方
Mark D Neuman1, Brian T Bateman2, Hannah Wunsch3
1Department of Anesthesiology and Critical Care, Perelman School of Medicine and Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, PA, USA.
Lancet (London, England)
|April 16, 2019
概括
手术后过度使用处方阿片类药物是造成滥用和成的主要公共卫生问题. 本综述考察了过度处方趋势,预测因素和策略,以确保安全的疼痛管理,同时减少伤害.
科学领域:
- 公共卫生
- 治疗疼痛
- 药理学
背景情况:
- 全球处方阿片类止痛药的使用量从2001年到2013年翻了一番.
- 在美国,加拿大和澳大利亚等国家普遍存在阿片类药物滥用流行病.
- 手术后过度处方阿片类药物是一个重大公共卫生问题,也是阿片类药物滥用的潜在驱动因素.
研究的目的:
- 审查美国,加拿大和其他国家的处方阿片类药物治疗术后疼痛的发展情况.
- 总结有关手术后阿片类药物过度处方的证据.
- 探索过度处方与随后的阿片类药物滥用,转移和阿片类药物使用障碍之间的联系.
主要方法:
- 对处方阿片类药物用于手术后疼痛的现有文献的审查.
- 综合过度处方模式及其后果的证据.
- 对影响处方的患者,医生和系统级因素的讨论.
- 目前临床和政策干预措施的总结.
主要成果:
- 全球处方阿片类止痛药使用量显著增加.
- 有证据表明术后过度处方与阿片类药物滥用和疾病风险增加之间存在联系.
- 确定的患者,医生和系统级预测因素导致过度处方.
- 目前正在开展各种临床和政策工作,以制过度处方,同时控制疼痛.
结论:
- 术后阿片类药物过度处方是持续阿片类药物危机的一个关键因素.
- 了解预测因素对于制定有针对性的干预措施至关重要.
- 在有效的疼痛控制与减少阿片类药物依赖之间取得平衡对于公共健康至关重要.
相关概念视频
Opioid Analgesics: Synthetic and Semisynthetic Opioids
975
Synthetic and semisynthetic opioids are pivotal in pain management and tackling opioid addiction. Semisynthetic opioids, including morphinans (morphine derivatives), oxycodone, oxymorphone, hydrocodone, and hydromorphone, have improved pharmacokinetic profiles compared to morphine. Additionally, heroin and 6-MAM (6-Monoacetylmorphine) show better CNS penetration than morphine due to heightened lipid solubility. Hydromorphone, a potent opioid, undergoes hepatic metabolism to form the active...
975
Opioid Receptors: Overview
4.2K
Opioid receptors, including the mu (μ, MOR), delta (δ, DOR), and kappa (κ, KOR) types, belong to the rhodopsin family of G protein-coupled receptors. These receptors are located throughout the central and peripheral nervous systems and in non-neuronal tissues such as macrophages and astrocytes. Opioid receptor ligands can be categorized into agonists or antagonists. Highly selective agonists include [d-Ala2, MePhe4, Gly(ol)5]-enkephalin or DAMGO for MOR, [D-Pen2,...
4.2K
Prescription, Nonprescription and Orphan Drugs
1.2K
Prescription drugs require a prescription from a medical practitioner and can only be obtained from a pharmacy. They have many applications, including treating pain, anxiety, and hypertension.
The misuse and addiction to prescription drugs is a growing problem that can affect people of all age groups, specifically teenagers. This can happen when prescription medications are used in ways not intended by the prescriber, such as taking someone else's prescription or using medication for...
The misuse and addiction to prescription drugs is a growing problem that can affect people of all age groups, specifically teenagers. This can happen when prescription medications are used in ways not intended by the prescriber, such as taking someone else's prescription or using medication for...
1.2K
Opioid Analgesics: Morphine and Other Natural Cogeners
904
Opioids are a class of drugs that mimic endogenous opioid peptides and act on opioid receptors, and help in pain relief. These compounds are classified as natural, synthetic, or semi-synthetic. Natural opioids, like morphine, codeine, and thebaine, are derived from the opium poppy plant (Papaver somniferum or Papaver album) and are termed opiates. Synthetic opioids are artificial, while semi-synthetic opioids combine natural and synthetic compounds. Morphine, a prototypical opioid, possesses a...
904
Drugs Affecting GI Tract Motility: Opioids as Antidiarrheal Agents
650
Diarrhea, a condition marked by frequent loose or watery bowel movements, can be triggered by multiple factors such as viral or bacterial infections, food intolerances, anxiety, medications, and digestive disorders. Symptoms may include abdominal pain, bloating, nausea, and cramping. Severe or prolonged diarrhea can lead to complications like electrolyte imbalances, malnutrition, and dehydration if left untreated.
Opioids, widely used antidiarrheal agents, mitigate diarrhea by slowing down...
Opioids, widely used antidiarrheal agents, mitigate diarrhea by slowing down...
650
Telomeres and Telomerase
27.0K
In eukaryotic DNA replication, a single-stranded DNA fragment remains at the end of a chromosome after the removal of the final primer. This section of DNA cannot be replicated in the same manner as the rest of the strand because there is no 3’ end to which the newly synthesized DNA can attach. This non-replicated fragment results in gradual loss of the chromosomal DNA during each cell duplication. Additionally, it can induce a DNA damage response by enzymes that recognize single-stranded...
27.0K

