PDF(Pubmed)
Abstract：
Opioids are very effective pain medications, but they are not without complications. Its use in chronic cancer pain is clearly established, but not in chronic non-cancer pain. Opioid use has increased in recent years, but at the same time, it has been accompanied by an increase in side effects and related complications, including abuse, abuse and opioid addiction. If we look in the literature on the subject there is a global concern to make an adequate therapy with risk reduction, but the samples studied make it difficult to extrapolate results to the general population and even more so if we take into account factors such as psychiatric comorbidity. This leads us to consider the need to study our own population, its characteristics and see how it is being treated, to refine as much as possible on an appropriate prescription. The authors have carried out a cross-sectional study on patients with non-cancer chronic pain referred to psychiatry and the presence of opioid use disorder. We found risk factors related to the biopsychosocial characteristics of the patients and the characteristics of pain and its treatment. Knowing the risk factors, we can avoid yatrogeny, implement primary and secondary prevention and, ultimately, improve the quality of patient care.
摘要：
阿片类药物是非常有效的止痛药，但它们并非没有并发症。它在慢性癌症疼痛中的应用已明确确立，但不是慢性非癌症疼痛。近年来阿片类药物的使用有所增加，但同时,伴随着副作用和相关并发症的增加，包括虐待,滥用和阿片类药物成瘾。如果我们查看有关该主题的文献，则全球关注的是，可以降低风险的适当治疗方法，但是所研究的样本使得很难将结果外推到普通人群，如果我们考虑到精神病合并症等因素，则更是如此。这导致我们考虑研究我们自己的人口的必要性，它的特点，看看它是如何被对待的，尽可能地完善适当的处方。作者对涉及精神病学和阿片类药物使用障碍的非癌症慢性疼痛患者进行了横断面研究。我们发现了与患者的生物心理社会特征以及疼痛及其治疗特征有关的危险因素。知道风险因素，我们可以避免Yatrogeny,实施一级和二级预防，最终,提高患者护理质量。
