法国全科医院的非标签跨粘膜体即时释放芬太尼的使用率和模式:基于自愿在线调查的混合方法研究
Virginie Guastella1,2, Emeline Gueganno3, Célian Bertin4
1Université Clermont Auvergne, INSERM U1107, Neuro-Dol, CHU Clermont-Ferrand, Palliative Care Center, 63118, Cebazat, France. vguastella@chu-clermontferrand.fr.
Pain and therapy
|December 11, 2025
概括
几乎一半的全科医生 (GPs) 经常为各种疾病开处方超菌即时释放芬太尼 (TIRF). 虽然被认为是有效的,但对培训和滥用的担忧需要更明确的指导方针,以便更安全地使用TIRF.
科学领域:
- 疼痛管理 疼痛管理
- 药理学 药理学是指药理学的学科.
- 一般实践一般实践
背景情况:
- 超菌即时释放芬太尼 (TIRF) 的处方正在增加,原因是突破性疼痛的迅速发作.
- 2022年的一项研究表明,在全科医生 (GPs) 中,TIRF的非标签使用率很高.
研究的目的:
- 评估法国全科医生使用非标签TIRF的流行率和模式.
- 评估对手术疼痛,吞/警觉障碍和急性疼痛的感知疗效.
- 检查非标签TIRF处方的整体耐受性.
主要方法:
- 一种混合方法的方法,结合了定性访谈和定量横截面的在线调查.
- 数据来自法国全民全科医生在线调查.
- 对682份已填写的问卷进行分析,重点关注非标签的TIRF处方.
主要成果:
- 46%的全科医生报告在各种适应症中使用非标签的TIRF.
- 过程性疼痛 (36%),吞障碍 (32%) 和警觉障碍 (24%) 是常见的非标签用途.
- 对于12%的全科医生来说,急性类风湿性疼痛是一种非标签性指示.
结论:
- 一般医生在特定的临床环境中证实了广泛的非标签TIRF使用.
- 报告了积极的结果,但仍然存在对培训,剂量定位和使用障碍风险的担忧.
- 为了更安全地使用TIRF,需要有针对性的教育和更明确的处方指南.
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