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在接受精神病药物治疗时,治疗急性和慢性疼痛的阿片类药物
Chandrashekar Janakiram1,2, Ilya Okunev3, Eric P Tranby4
1Amrita School of Dentistry, Amrita Vishwa Vidhyapeetham, Cochin, India.
PloS one
|September 26, 2023
概括
患有精神健康障碍 (MHD) 的成年人接受阿片类药物处方治疗疼痛的速度几乎是没有MHD的成年人的两倍. 这凸显了需要对服用抑郁症或焦虑症药物的人士的疼痛管理指南进行审查.
科学领域:
- 医学研究 医学研究
- 公共卫生 公共卫生
- 药理学 药理学是指药理学的学科.
背景情况:
- 抑郁症和焦虑症等心理健康障碍 (MHD) 与更高的物质使用障碍 (SUD) 率有关.
- 对于MHD患者的疼痛管理,阿片类药物处方模式尚不清楚.
研究的目的:
- 评估治疗抑郁症和/或焦虑症药物治疗患者急性或慢性疼痛的阿片类药物处方模式.
- 为了比较MHD和没有MHD的患者之间的阿片类药物处方率.
主要方法:
- 分析了2012-2019年2450万名成年人的医疗索赔情况.
- 使用ICD-10-CM代码对疼痛诊断 (急性与慢性) 的分类.
- 对阿片类药物和抗抑郁药/抗焦虑药物处方的检查.
主要成果:
- 32%的患有MHD的成年人 (近800万) 也有急性或慢性疼痛.
- 34%的疼痛+MHD组在诊断后14天内接受了阿片类药物处方.
- 患有MHD的成年人接受阿片类药物治疗疼痛的速度几乎是没有MHD的人的两倍.
结论:
- 尽管阿片类药物处方总体下降,但患有MHD的成年人继续以显著更高的速度接受它们.
- 目前的疼痛管理指南可能需要对服用抗抑郁药物或抗焦虑药物的MHD患者进行修订.
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