在被诊断患有阿片类药物使用障碍和酒精使用障碍的农村初级保健患者中,以药物为基础的治疗
Emily Kan1, Laura-Mae Baldwin2, Larissa J Mooney3
1Department of Psychiatry and Biobehavioral Sciences, University of California, Los Angeles, California, United States of America.
Journal of substance use and addiction treatment
|March 21, 2024
概括
在农村初级保健中,对阿片类药物和酒精使用障碍的药物处方有限,特别是在酒精使用障碍方面. 同时出现阿片类药物和酒精使用障碍的农村患者接受了比单一障碍患者更多的药物治疗.
科学领域:
- 成 药物 药物 药物 药物
- 初级保健研究研究初级保健研究
- 农村卫生 农村卫生
背景情况:
- 阿片类药物和酒精使用障碍 (OUD/AUD) 是普遍存在的公共卫生问题.
- 初级保健机构对于处理物质使用障碍越来越重要.
- 了解农村初级保健中药物处方模式至关重要.
研究的目的:
- 确定农村初级保健中OUD和/或AUD药物处方的患病率,类型和持续时间.
- 为了比较不同患者群体的药物处方:只有OUD,只有AUD和同时发生的OUD+AUD.
主要方法:
- 从6个农村初级保健站点 (美国东北部/西北部) 1874名成年患者的回顾性分析.
- 纳入标准:2019年10月至2021年1月期间的OUD,AUD或OUD+AUD诊断代码.
- 收集关于药物处方流行,类型和持续时间的数据.
主要成果:
- 与OUD单独 (63.7%) 和AUD单独 (10.3%) 相比,OUD+AUD患者的药物处方率最高 (85.3%).
- OUD+AUD组也接受了较长时间的药物治疗 (平均264.7天),而不是仅使用OUD (220.5天) 或仅使用AUD (62.5天).
- 只有不到9%的OUD+AUD患者接受了同时治疗这两种疾病的药物.
结论:
- 药物治疗AUD,即使在同时发生的病例中,在农村初级保健中也未得到充分利用.
- 在为只有AUD或OUD+AUD的患者提供AUD药物方面存在很大的差距.
- 农村临床医生应考虑AUD药物作为AUD或同时出现OUD+AUD的患者的重要治疗选择.
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