低腰痛患者使用抗抑郁药的模式:使用工人赔偿数据的回顾性研究
Giovanni E Ferreira1,2, Michael Di Donato3, Christopher G Maher1,2
1Institute for Musculoskeletal Health, Sydney Local Health District, Sydney, New South Wales, Australia.
European journal of pain (London, England)
|December 17, 2024
概括
七分之一的澳大利亚腰部疼痛 (LBP) 的工人接受了抗抑郁药,通常是阿米,经常是在其他止痛药之后. 诸如年龄和社会经济地位等因素影响了分发模式.
科学领域:
- 药理学 药理学是指药理学的学科.
- 疼痛管理 疼痛管理
- 职业健康 职业健康 职业健康
背景情况:
- 抗抑郁药经常被处方用于腰部疼痛 (LBP),但使用模式仍然不清楚.
- 了解抗抑郁药物开放和切换对于管理劳动力中的LBP至关重要.
研究的目的:
- 为了确定澳大利亚劳工中抗抑郁药物开放和转换的模式.
- 在这个人群中调查与抗抑郁药物分发和切换相关的因素.
主要方法:
- 对LBP (2010-2018) 工人赔偿索赔的回顾性分析.
- 检查了抗抑郁药类型,发放时间和转换行为.
- 后勤回归确定了与初始分发和切换相关的因素.
主要成果:
- 14%的LBP索赔涉及抗抑郁药的分发,其中阿米氨酸是最常见的.
- 抗抑郁药通常在6个月后发放,并且通常先于阿片类药物, gabapentinoids 或 diazepam.
- 诸如性别,年龄,先前使用阿片类药物/加巴丁类药物/亚泽巴姆类药物,使用心理服务和社会经济劣势等因素与发行药物有关.
结论:
- 抗抑郁药通常被分配给LBP的工人,通常与其他止痛药一起使用.
- 需要进一步的研究,以确定处方抗抑郁药是否有效治疗LBP或同时出现的心理健康状况.
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