Tehrani Mahsa, Aguiar Mathia, Katz James D
Department of Rheumatology, George Washington University, Washington, DC, USA.
Department of Immunology and Rheumatology, Hospital General de Occidente and University of Guadalajara, Guadalajara, Mexico.
Health Serv Insights. 2013 Jun 13;6:39-45. doi: 10.4137/HSI.S10461. eCollection 2013.
Patients with rheumatic conditions often suffer from related chronic pain. When first-line traditional medications such as acetaminophen and anti-inflammatory medications do not suffice, then other options are needed. The traditional medications may ultimately not provide sufficient pain relief, or alternatively, they can pose as a contraindication due to underlying hypertension, renal, and/or hepatic disease. Therefore, narcotics are an alluring alternative, which if used in a multidisciplinary and systematic approach to the patient, can prove to be quite beneficial in the lives of these patients.
患有风湿性疾病的患者常常遭受相关的慢性疼痛。当对乙酰氨基酚和抗炎药物等一线传统药物效果不佳时,就需要其他选择。传统药物最终可能无法提供足够的疼痛缓解,或者由于潜在的高血压、肾脏和/或肝脏疾病,它们可能会成为禁忌。因此,麻醉药品是一种诱人的替代选择,如果以多学科和系统的方法应用于患者,对这些患者的生活可能会非常有益。