Brown Colin Malcolm, Anderson Geoff
Drugs of Dependence Unit, Drug and Alcohol Services SA, Adelaide, South Australia, Australia.
Aust Fam Physician. 2007 Jul;36(7):559-60.
It can be said that chronic pain patients comprise a large part of general practice. It would be accepted that general practitioners treat pain to the best of their abilities and, where indicated, use opioids for this purpose. After all, opioids have been used for the treatment of cancer and acute pain for many years. While a growing body of literature documents the trend of acceptance to prescribe opioids for the treatment of chronic noncancer pain, recent evidence suggests opioids may not achieve key outcomes of chronic pain management.
可以说,慢性疼痛患者在全科医疗中占了很大一部分。人们普遍认为,全科医生会尽最大能力治疗疼痛,并在有指征时为此使用阿片类药物。毕竟,阿片类药物已用于治疗癌症和急性疼痛多年。虽然越来越多的文献记录了开具阿片类药物治疗慢性非癌性疼痛的接受趋势,但最近的证据表明,阿片类药物可能无法实现慢性疼痛管理的关键目标。