García César Amescua, Santos Garcia Joao Batista, Rosario Berenguel Cook María Del, Colimon Frantz, Flores Cantisani José Alberto, Guerrero Carlos, Rocío Guillén Núnez María Del, Hernández Castro John Jairo, Kraychete Durval Campos, Lara-Solares Argelia, Lech Osvandré, Rico Pazos María Antonieta, Gallegos Manuel Sempértegui, Marcondes Lizandra Pattaro
Hospital Ángeles, Tijuana, Mexico.
Pain & Palliative Care, Federal University of Maranhao, Brazil.
Pain Manag. 2018 May;8(3):181-196. doi: 10.2217/pmt-2017-0043. Epub 2018 May 18.
Pain is highly prevalent among the adult Latin American population. However, many patients with moderate to severe pain do not have access to effective pain management with opioids due to limited access to healthcare, overuse of nonopioid analgesics, regulatory barriers and lack of appropriate information about opioids. There is scarce training on use of opioids among physicians and other healthcare providers, which leads to misconceptions, mainly related to a fear of prescribing opioids. Although opioids are safe and effective drugs for the treatment of moderate to severe chronic pain, the use of opioids in Latin American nations is clearly below standards compared with developed countries.
疼痛在拉丁美洲成年人群中极为普遍。然而,由于医疗保健服务获取有限、非阿片类镇痛药的过度使用、监管障碍以及缺乏关于阿片类药物的适当信息,许多中重度疼痛患者无法获得有效的阿片类药物疼痛管理。医生和其他医疗服务提供者在阿片类药物使用方面的培训稀缺,这导致了误解,主要是对开具阿片类药物处方的恐惧。尽管阿片类药物是治疗中重度慢性疼痛的安全有效药物,但与发达国家相比,拉丁美洲国家阿片类药物的使用明显低于标准。