Opioids should be last resort to treat chronic pain, says draft CDC guideline
Opioids should be last resort to treat chronic pain, says draft CDC guideline
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疾病预防控制中心指南草案称阿片类药物应该是治疗慢性疼痛的最后手段
DOI：
10.1136/bmj.h6905
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发表时间：
2015
影响因子：
--
通讯作者：
M. McCarthy
中科院分区：
文献类型：
--
作者：
M. McCarthy
美国疾病控制与预防中心 (CDC) 在 12 月 14 日发布的指南草案中表示，只有“预计对疼痛和功能的预期益处超过对患者的风险”，医生才应考虑开阿片类药物治疗慢性疼痛。1
疾病预防控制中心表示，慢性疼痛患者的首选治疗方法是非阿片类药物以及身体、心理和其他非药物治疗，因为缺乏证据表明长期使用阿片类药物治疗对慢性疼痛有效，并且考虑到长期使用相关的滥用、依赖性、用药过量和死亡的已知风险。
过去十五年来，美国因阿片类镇痛药过量服用而导致的死亡人数激增，仅 2013 年就有超过 16000 人死亡。这种流行病主要归咎于处方阿片类药物的使用增加。2……
Doctors should consider prescribing opioids for chronic pain only “if [the] expected benefits for both pain and function are anticipated to outweigh risks to the patient,” the US Centers for Disease Control and Prevention (CDC) has said in a draft guideline released on 14 December.1
The preferred treatment for patients with chronic pain is non-opioid drugs and physical, psychological, and other non-pharmacologic therapy, the CDC said, given the lack of evidence that long term treatment with opioids is effective for chronic pain and given the known risks of abuse, dependence, overdose, and death associated with long term use.
Over the past decade and a half the number of deaths related to overdose of opioid analgesics in the United States has soared, with more than 16 000 such deaths reported in 2013 alone. The epidemic has been blamed largely on the increased use of prescribed opioids.2 …