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成瘾与疼痛治疗

Addiction and the treatment of pain.

作者信息

Ziegler Penelope P

机构信息

Williamsburg Place and the William J. Farley Center, Williamsburg, Virginia 23188, USA.

出版信息

Subst Use Misuse. 2005;40(13-14):1945-54, 2043-8. doi: 10.1080/10826080500294841.

Abstract

Persons experiencing pain, whether acute or chronic, seek and deserve relief from their discomfort and loss of function. However, opioid analgesics have the capacity to induce tolerance, physical dependence, and addiction. Furthermore, persons with a history of opioid use disorders or other substance misuse problems are at "high risk" when they acquire painful conditions requiring aggressive treatment. Prescription of opioids could trigger a relapse to the original drug of choice or could initiate a new bout of addiction with the prescribed drug. This article explores the relationship between addiction and pain, including signs of developing addiction and approaches to managing pain in those with addiction.

摘要

无论是急性疼痛还是慢性疼痛患者,都寻求并理应从不适和功能丧失中解脱出来。然而,阿片类镇痛药有导致耐受性、身体依赖性和成瘾的可能。此外,有阿片类药物使用障碍或其他物质滥用问题病史的人,在患上需要积极治疗的疼痛性疾病时处于“高风险”状态。开具阿片类药物处方可能会引发对原来首选药物的复发,或者可能引发对所开药物的新一轮成瘾。本文探讨成瘾与疼痛之间的关系,包括成瘾发展的迹象以及对成瘾者疼痛管理的方法。

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