苯丙胺类兴奋剂对急救服务的影响。

The impact of amphetamine-type stimulants on emergency services.

作者信息

Fulde Gordian W O, Forster S Lesley

机构信息

aEmergency Departments, St Vincents and Sydney Hospitals, Sydney bRural Health & Rural Medical School, University of New South Wales, Sydney, Australia.

出版信息

Curr Opin Psychiatry. 2015 Jul;28(4):275-9. doi: 10.1097/YCO.0000000000000171.

DOI:10.1097/YCO.0000000000000171

PMID:26001917

Abstract

PURPOSE OF REVIEW

Amphetamine-type stimulants now rank second worldwide in the table of most widely used recreational drugs. Many countries report increased availability and increased purity of the drugs.Surprisingly, while many authors in the last decade have described clinical issues and demographic patterns associated with amphetamine use, there is little published research quantifying the specifics of the impact of 'ICE' use on health resources.It is, therefore, timely to review the available literature on the impact of this group of drugs on emergency medical systems.

RECENT FINDINGS

Recent research has focused on the increase in production and availability of metamphetamines. Clinical findings at acute presentation and long-term sequelae have been studied and in particular, the impact of the drugs on mental health and development of long-term neurological problems. Work has also been done unsuccessfully to develop therapeutic agents for the acute management of patients who present under the influence of amphetamines.

SUMMARY

It is clear that the use of metamphetamine-type substances places an increasing burden on acute health services. There is a need for preventive and harm-minimization strategies.

摘要

综述目的

在全球最广泛使用的消遣性药物排行榜上，苯丙胺类兴奋剂如今位居第二。许多国家报告称此类药物的可获取性增加且纯度提高。令人惊讶的是，尽管在过去十年中有许多作者描述了与使用苯丙胺相关的临床问题和人口统计学模式，但几乎没有已发表的研究对使用“冰毒”对卫生资源的影响细节进行量化。因此，及时回顾关于这类药物对紧急医疗系统影响的现有文献很有必要。