Østergaard Pernille Jul, Gustafsson Lea Nørgreen, Høyer Eyd Hansen, Munk-Jørgensen Povl
Aarhus University Hospital, Risskov, Hørret Byvej 31, 8320 Mårslet, Aarhus, Denmark.
Aarhus University Hospital, Risskov, Aarhus, Denmark.
Ther Adv Psychopharmacol. 2016 Feb;6(1):13-21. doi: 10.1177/2045125315619557.
The association between the presence of pain and mental disorder is well known. The extent of pain treatment in psychiatric patients is estimated to be high, but there is a lack of recent studies focusing on analgesic treatment in patients with mental disorders. The use of analgesics can be associated with side effects, and it is possible that analgesics are not the correct treatment for chronic pain among patients with mental disorders.
Data were obtained among inpatients in a geriatric psychiatry department at Aarhus University Hospital, Risskov, Denmark, between 1 April 2013 and 1 October 2013. The study examines the extent of analgesic use by patients at admission with a follow up at discharge to note any change during hospitalization.
A total of 89 patients aged 68 years or older were included (56 women, 33 men). At admission, 51.7% used analgesics, and this number did not change significantly from admission to discharge. A statistically significant increased risk of analgesic use was found in females (odds ratio 4.0). The indications for analgesic use were not present in 34.5% of the pain-treated patients at admission. At discharge, this number had been reduced to 23.1%. Paracetamol was the drug most frequently used, followed by opioids.
The use of analgesics among aged psychiatric inpatients is high. An increased focus on this topic is recommended.
疼痛与精神障碍之间的关联已广为人知。据估计，精神病患者的疼痛治疗比例较高，但目前缺乏针对精神障碍患者镇痛治疗的近期研究。使用镇痛药可能会产生副作用，而且对于精神障碍患者的慢性疼痛而言，镇痛药有可能并非正确的治疗方法。
数据来源于丹麦里斯科夫奥胡斯大学医院老年精神科2013年4月1日至2013年10月1日期间的住院患者。该研究调查了患者入院时使用镇痛药的情况，并在出院时进行随访，以记录住院期间的任何变化。
共纳入89名68岁及以上的患者（56名女性，33名男性）。入院时，51.7%的患者使用镇痛药，从入院到出院这一数字没有显著变化。女性使用镇痛药的风险在统计学上显著增加（比值比为4.0）。入院时，34.5%接受疼痛治疗的患者没有使用镇痛药的指征。出院时，这一数字降至23.1%。对乙酰氨基酚是最常用的药物，其次是阿片类药物。
老年精神病住院患者的镇痛药使用率较高。建议更多地关注这一主题。
