Theisen-Toupal Jesse, Ronan Matthew V, Moore Amber, Rosenthal Elana S
Medical Service, VA Medical Center, Washington, DC; George Washington University School of Medicine and Health Sciences, Washington, DC; Uniformed Services University of the Health Sciences, Bethesda, MD.
Medical Service, VA Medical Center, West Roxbury, MA; Harvard Medical School, Boston, MA.
J Hosp Med. 2017 May;12(5):369-374. doi: 10.12788/jhm.2731.
The United States is experiencing an epidemic of nonmedical opioid use and opioid overdose-related deaths. As a result, there have been a number of public health interventions aimed at addressing this epidemic. However, these interventions fail to address care of individuals with opioid use disorder during hospitalizations and, therefore, miss a key opportunity for intervention. The role of hospitalists in managing hospitalized patients with opioid use disorder is not established. In this review, we discuss the inpatient management of individuals with opioid use disorder, including the treatment of withdrawal, benefits of medication-assisted treatment, and application of harm-reduction strategies. Journal of Hospital Medicine 2017;12:369-374.
美国正经历非医疗用途阿片类药物使用及与阿片类药物过量相关死亡的流行。因此，已经有许多旨在应对这一流行的公共卫生干预措施。然而，这些干预措施未能解决住院期间阿片类药物使用障碍患者的护理问题，因而错失了关键的干预机会。住院医师在管理患有阿片类药物使用障碍的住院患者方面的作用尚未确立。在本综述中，我们讨论阿片类药物使用障碍患者的住院管理，包括戒断治疗、药物辅助治疗的益处以及减少伤害策略的应用。《医院医学杂志》2017年；12:369 - 374。
