Mind-body approaches for reducing the need for post-operative opioids: Evidence and opportunities
Mind-body approaches for reducing the need for post-operative opioids: Evidence and opportunities
复制标题
减少术后阿片类药物需求的身心方法：证据和机会
DOI：
10.46439/anesthesia.3.016
复制
发表时间：
2022
期刊：
影响因子：
--
通讯作者：
Samantha M. Meints
中科院分区：
文献类型：
--
作者：
Bethany D. Pester;R. Edwards;M. Martel;C. Gilligan;Samantha M. Meints
虽然阿片类药物仍然是我们在疼痛管理中最有效的镇痛药，但处方阿片类药物的许多潜在危害已变得越来越明显。尽管阿片类药物治疗对急性和慢性疼痛患者有镇痛作用[1]，但阿片类药物治疗（特别是长期阿片类药物治疗）可能导致严重的问题，如阿片类药物滥用，阿片类药物使用障碍的发展和过量。一些作者报告说，在初级和三级保健机构中，高达20-30%的长期阿片类药物治疗患者滥用阿片类药物（即，[2,3]“以其人之道，还治其人之身”，“以其人之道，还治其人之身”。滥用阿片类药物可导致或加剧慢性疼痛患者的其他健康问题[1，4]，事实上，约10%的长期阿片类药物治疗患者可能会出现阿片类药物使用障碍（OUD），尽管研究之间的患病率估计值因方法学和操作定义的差异而异[3]。手术是许多个体暴露于阿片类药物的常见点，最近的数据表明，相当大比例的阿片类药物初治患者在手术后将继续长期使用阿片类药物（例如，在一项大型全国调查中，约为6%[5]）。每年在美国进行超过5000万例手术[6]，围手术期和术后时期是许多美国人阿片类药物相关风险的重要窗口。
While opioids remain our most potent analgesics in the management of pain, the many potential harms of prescription opioids have become increasingly clear. Despite the analgesic benefits for people with acute and chronic pain [1], opioid therapy (especially long-term opioid treatment) can result in significant problems such as opioid misuse, the development of opioid use disorder, and overdose. Some authors report that up to 20-30% of patients in primary and tertiary care settings who are maintained on long-term opioid therapy misuse opioids (i.e., use them in a manner other than how the opioids are prescribed) [2,3]. Misuse of opioids can cause or exacerbate additional health problems in people with chronic pain [1,4], and in fact, roughly 10% of patients prescribed long-term opioid therapy may develop an opioid use disorder (OUD), although prevalence estimates vary between studies depending on differences in methodology and operational definitions [3]. Surgery is a common point of exposure to opioids for many individuals, and recent data suggest that substantial percentages of opioid-naive patients will go on to long-term opioid use following a surgery (e.g., approximately 6% in one large national survey [5]). With over 50 million surgeries performed in the US each year [6], the periand post-operative period represents an important window of opioid-related risk for many Americans.
影响因子：
3.8
作者：
Ferguson, Erin;Zale, Emily;Boissoneault, Jeff
通讯作者：
Boissoneault, Jeff
影响因子：
16.4
作者：
Garland, Eric L.;Hudak, Justin;Nakamura, Yoshio
通讯作者：
Nakamura, Yoshio
在临床实践中观察到，心理变量可能与阿片类药物相关的死亡率有关。
DOI：
10.1111/j.1526-4637.2011.01130.x
发表时间：
2011
期刊：
Pain medicine (Malden, Mass.)
影响因子：
--
作者：
Passik,StevenD;Lowery,Amy
通讯作者：
Lowery,Amy