在澳大利亚工人中使用心理药物与工人赔偿索赔背部和部肌肉骨疾病或伤害
Yonas Getaye Tefera1, Suzanne Nielsen2, Shannon Gray1
1Healthy Working Lives Research Group, School of Public Health and Preventive Medicine, Monash University, Australia.
British journal of clinical pharmacology
|December 21, 2025
概括
在背部/部受伤的澳大利亚工人中,心理药物使用率很高,特别是那些残疾时间较长的人. gabapentinoid 的使用量显著增加,引发了对潜在过度使用的担忧.
科学领域:
- 职业健康 职业健康 职业健康
- 心理药理学 心理药理学
- 公共卫生 公共卫生
背景情况:
- 对于背部和部受伤的工人赔偿索赔是常见的.
- 心理药物经常被处方用于疼痛和相关的心理痛苦.
- 了解处方模式对于患者安全和医疗保健资源分配至关重要.
研究的目的:
- 描述在受伤的澳大利亚工人背部和部疾病中使用心理药物的特点.
- 在这个人群中确定与心理药物使用相关的因素.
- 检查心理药物处方的时间趋势.
主要方法:
- 分析了一组22595名受伤的澳大利亚工人受理索赔 (2010-2016).
- 心理药物 (抗抑郁药, gabapentinoids,抗焦虑药,催眠药/镇静药,抗精神病药) 的使用量是用每天1000名工人每日定义的每日剂量 (DDD) 来衡量的.
- 零膨胀负二项式回归确定了利用的决定因素.
主要成果:
- 总体心理药物利用率为135.4 DDD/1000/天,抗抑郁药 (74.2) 和 gabapentinoids (31.6) 的使用率最高.
- 较长的残疾持续时间与所有精神药物类别的使用量增加相关.
- 从2010年到2016年, gabapentinoid的使用量增加了一倍以上,而焦虑缓解和催眠/镇静剂的使用量则下降.
结论:
- 心理药物使用在澳大利亚有背部/部疾病的受补偿工人中很高,特别是长期残疾人.
- 观察到处方模式的显著变化,特别是 gabapentinoid 用量大幅增加.
- 观察到的趋势表明心理药物可能过度使用,需要进一步调查和干预.
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