主要使用芬太尼的慢性疼痛:自我治疗的概念
Jane J Kim1, Dianah Hayati1, Milad Zamany1
1Faculty of Medicine, Department of Psychiatry, University of British Columbia, Vancouver, Canada.
European journal of pain (London, England)
|November 6, 2024
概括
慢性疼痛在初级芬太尼使用者中很常见,许多人使用街头阿片类药物自我治疗. 综合性疼痛管理对于治疗阿片类药物依赖和减少过量服用风险至关重要.
科学领域:
- 公共卫生 公共卫生
- 疼痛管理 疼痛管理
- 成 药物 药物 药物 药物
背景情况:
- 慢性疼痛是全球导致残疾的主要原因,但许多人仍然无法获得足够的治疗.
- 非处方阿片类止痛药经常用于管理未缓解的慢性疼痛.
- 这项研究调查了初级芬太尼使用者慢性疼痛的患病率和相关因素.
研究的目的:
- 为了确定主要使用芬太尼的个体中慢性疼痛的患病率.
- 在这个人群中确定慢性疼痛的相关性.
- 探索慢性疼痛与街头阿片类药物自我治疗之间的关系.
主要方法:
- 在温哥华急性护理医院对200名成年初级芬太尼使用者进行了横截面调查.
- 慢性疼痛的存在和严重程度通过自我报告来评估.
- 使用回归分析来确定慢性疼痛和疼痛水平的相关因素.
主要成果:
- 超过72%的参与者在过去六个月报告了慢性疼痛,平均每日疼痛水平为7.6/10.
- 大约65%的人报告使用街头阿片类药物来自我治疗疼痛.
- 随着年龄的增长,大麻和阿片类药物的联合使用独立地与慢性疼痛相关;较高的疼痛水平与年龄和自我治疗相关.
结论:
- 主要使用芬太尼的自我治疗和慢性疼痛之间存在显著的关联.
- 缺乏足够的缓解疼痛可能会导致继续使用阿片类药物,并增加治疗中止和过量服用的风险.
- 将疼痛管理纳入阿片类药物依赖治疗是减少危害和解决慢性疼痛社会负担的关键.
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