Devaul R A, Hall R C, Faillace L A
Am J Psychiatry. 1978 Jun;135(6):682-5. doi: 10.1176/ajp.135.6.682.
The authors compared the drug use of 23 patients with 5 or more major surgeries (mean number of surgeries = 9.8) with that of a matched control group (mean number of surgeries = 1). Total drug use of the polysurgical patients was 3.7 times greater than that of the controls and involved narcotics, analgesics, barbiturates, and minor tranquilizers. The authors describe the characteristics of polysurgical patients, one of which is chronic pain, and propose a treatment plan that involves psychological intervention for the patient and his or her family.
作者比较了23例接受过5次或更多次大手术的患者（平均手术次数 = 9.8）与匹配对照组（平均手术次数 = 1）的药物使用情况。接受多次手术患者的药物使用总量是对照组的3.7倍，涉及麻醉药、镇痛药、巴比妥类药物和小剂量镇静剂。作者描述了接受多次手术患者的特征，其中之一是慢性疼痛，并提出了一个涉及对患者及其家属进行心理干预的治疗方案。
