Raub Joshua N, Vettese Theresa E
Internal Medicine, Detroit Receiving Hospital/Detroit Medical Center, Wayne State University School of Medicine, and Department of Pharmacy Services, Wayne State University, all in Detroit, MI.
Division of General Medicine and Geriatrics, Department of Medicine, Emory University School of Medicine, Atlanta, GA.
J Hosp Med. 2017 May;12(5):375-379. doi: 10.12788/jhm.2733.
Pain management is a core competency of hospital medicine, and effective acute pain management should be a goal for all hospital medicine providers. The prevalence of opioid use in the United States, both therapeutic and non-medical in origin, has dramatically increased over the past decade. Although nonopioid medications and nondrug treatments are essential components of managing all acute pain, opioids continue to be the mainstay of treatment for severe acute pain in both opioid-naïve and opioid-dependent patients. In this review, we provide an evidence-based approach to appropriate and safe use of opioid analgesics in treating acute pain in hospitalized patients who are opioid-dependent. Journal of Hospital Medicine 2017;12:375-379.
疼痛管理是医院医学的一项核心能力，有效的急性疼痛管理应成为所有医院医学从业者的目标。在过去十年中，美国用于治疗和非医疗用途的阿片类药物的使用比例急剧上升。尽管非阿片类药物和非药物治疗是管理所有急性疼痛的重要组成部分，但对于初次使用阿片类药物和阿片类药物依赖的患者，阿片类药物仍然是治疗严重急性疼痛的主要手段。在本综述中，我们提供了一种基于证据的方法，用于在治疗阿片类药物依赖的住院患者急性疼痛时合理、安全地使用阿片类镇痛剂。《医院医学杂志》2017年；12:375 - 379。
