药物成:使用二胺的障碍
Steven M Starks1, Michelle A Carroll Turpin2, Brian C Reed1
1Department of Clinical Sciences - Tilman J. Fertitta Family College of Medicine, University of Houston, Houston, TX.
尽管有指导方针,但二胺的处方往往超出短期使用范围. 有效的管理需要医生意识,查,和以患者为中心的逐渐缩小使用二胺使用障碍.
科学领域:
- 药理学 药理学是指药理学的学科.
- 成 药物 药物 药物 药物
- 公共卫生 公共卫生
背景情况:
- 实践指南建议短期使用二来治疗疾病.
- 长期使用二二类药物的处方常见于不明确的适应症,可能是由于感知到的低风险.
- bensodiazepine使用障碍影响美国成年人的估计0.2%.
研究的目的:
- 检查对二类药物的处方模式.
- 突出医生在预防和管理二二胺使用障碍方面的作用.
- 讨论有效的策略,为二胺戒断和滥用干预.
主要方法:
- 审查当前的文献和临床实践指南.
- 对医生处方模式及其影响的分析.
- 对使用二二类药物障碍和戒断的干预策略的讨论.
主要成果:
- bensodiazepines 经常被处方长期,与指导方针相反.
- 医生的处方习惯显著影响了二胺使用障碍和滥用.
- 与阿片类药物的同时处方会增加不良事件的风险.
- 逐渐的,以患者为中心的逐渐缩减对于管理戒断至关重要.
结论:
- 初级保健医生对于预防和管理二二胺使用障碍至关重要.
- 解决同时出现的疾病对于治疗规划至关重要.
- 二甲类药物戒断的有效干预包括逐渐减少剂量和患者的支持.
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