Schultz David
MAPS Medical Pain Clinics, USA.
Minn Med. 2013 Mar;96(3):42-4.
Prescription opioid abuse has become the biggest drug problem facing the United States, surpassing abuse of cocaine, methamphetamines and heroin combined. For physicians treating patients with chronic pain, deciding whether to prescribe opioids, especially long-term, can be a challenge. This article describes the history of the opioid abuse problem in the United States, new agents that are effective but less prone to abuse, and tools physicians can use to evaluate whether a patient is a candidate for prescription opioids or other options for pain control.
处方阿片类药物滥用已成为美国面临的最大毒品问题，超过了可卡因、甲基苯丙胺和海洛因滥用的总和。对于治疗慢性疼痛患者的医生来说，决定是否开具阿片类药物，尤其是长期用药，可能是一项挑战。本文介绍了美国阿片类药物滥用问题的历史、有效但不易滥用的新型药物，以及医生可用于评估患者是否适合使用处方阿片类药物或其他疼痛控制选择的工具。
