Yarborough W H
OUHSC-Tulsa, Department of Internal Medicine 74129-1077, USA.
J Okla State Med Assoc. 2000 Jun;93(6):242-4.
"Drug seeker" is a common term for patients who are perceived to be seeking drugs that might be abused or used in an illegal fashion. While there are patients who seek drugs for totally illegitimate reasons, most of these patients have some type of underlying medical issue. A differential model is proposed using four categories of seeker. The first is fraudulent behavior, second is addictive disease, third is under-treated symptomatology such as pain, and last is psychiatric disorders. Each area is discussed with useful examples of behavior in each category. With a good working knowledge of these areas described, physicians can more effectively manage this difficult group of patients.
“药物寻求者”是一个常用术语，指那些被认为在寻求可能被滥用或以非法方式使用的药物的患者。虽然有些患者寻求药物的原因完全不正当，但这些患者中的大多数都有某种潜在的医疗问题。本文提出了一种基于四类寻求者的鉴别模型。第一类是欺诈行为，第二类是成瘾性疾病，第三类是未得到充分治疗的症状，如疼痛，最后一类是精神障碍。本文对每个领域都进行了讨论，并给出了每类行为的有用示例。通过对上述这些领域的充分了解，医生可以更有效地管理这类棘手的患者群体。
