斯洛文尼亚的阿片类止痛药处方趋势2010-2019年:国家数据库研究研究
1University of Ljubljana, Faculty of Pharmacy, Ljubljana, Slovenia.
Human psychopharmacology
|January 12, 2024
概括
斯洛文尼亚的阿片类药物使用在2010年至2019年期间下降,接受者减少,总体消费减少. 虽然强烈的阿片类药物处方增加了,但它们在定义的每日剂量 (DDD) 中的使用量下降了,这表明潜在的更安全的处方模式.
科学领域:
- 药理学 药理学是指药理学的学科.
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 近几十年来,全球阿片类药物使用量大幅增加.
- 了解阿片类药物使用的区域趋势对于公共卫生至关重要.
- 门诊护理环境是监测阿片类药物处方模式的关键领域.
研究的目的:
- 从2010年到2019年分析斯洛文尼亚门诊护理中阿片类药物使用趋势.
- 评估阿片类药物接受者患病率和整体阿片类药物消费的变化.
- 调查不同类型的阿片类药物,包括强阿片类药物和特拉马多尔的具体趋势.
主要方法:
- 使用斯洛文尼亚全国医疗保险索赔数据进行的回顾性横截面研究.
- 对所有门诊阿片类止痛药处方的分析.
- 患病率计算为每1000名居民的阿片类药物接受者;消费量以每年每1000名居民的处方和确定的每日剂量 (DDD) 来衡量.
主要成果:
- 在研究期间,阿片类药物接受者的年龄标准化患病率下降了21.5%.
- 总的阿片类药物消费量下降,处方 (-9.2%) 和DDD (-5.4%) 减少.
- 特拉马多尔处方和DDD减少,而强阿片类药物处方增加 (10.2%),但DDD减少 (-16.2%),芬太尼和氧化/纳洛是最常见的.
结论:
- 在斯洛文尼亚,阿片类药物使用者患病率和消费量正在下降.
- 观察到的下降可能表明转向更安全的阿片类药物处方做法.
- 需要进一步的研究来确定这些趋势是否代表了适当的止痛药使用或潜在的滥用.
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