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本文引用的文献

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A Moral or Medical Problem? The Relationship between Legal Penalties and Treatment Practices for Opioid Use Disorders in Pregnant Women.道德问题还是医学问题?孕妇阿片类物质使用障碍的法律处罚与治疗实践之间的关系
Womens Health Issues. 2016 Nov-Dec;26(6):595-601. doi: 10.1016/j.whi.2016.09.002. Epub 2016 Oct 20.
2
Caring for Pregnant Women with Opioid Use Disorder in the USA: Expanding and Improving Treatment.在美国照顾患有阿片类药物使用障碍的孕妇:扩大并改善治疗
Curr Obstet Gynecol Rep. 2016;5(3):257-263. doi: 10.1007/s13669-016-0168-9. Epub 2016 Jul 1.
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Treatment of Opioid-Use Disorders.阿片类物质使用障碍的治疗
N Engl J Med. 2016 Jul 28;375(4):357-68. doi: 10.1056/NEJMra1604339.
4
Implementation Of Prescription Drug Monitoring Programs Associated With Reductions In Opioid-Related Death Rates.实施与阿片类药物相关死亡率降低相关的处方药监测计划。
Health Aff (Millwood). 2016 Jul 1;35(7):1324-32. doi: 10.1377/hlthaff.2015.1496. Epub 2016 Jun 22.
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Buprenorphine Versus Methadone for Opioid Dependence in Pregnancy.孕期阿片类药物依赖治疗中丁丙诺啡与美沙酮的比较
Ann Pharmacother. 2016 Aug;50(8):666-72. doi: 10.1177/1060028016648367. Epub 2016 May 19.
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Detoxification from opiate drugs during pregnancy.孕期阿片类药物解毒。
Am J Obstet Gynecol. 2016 Sep;215(3):374.e1-6. doi: 10.1016/j.ajog.2016.03.015. Epub 2016 Mar 17.
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Reducing the Risks of Relief--The CDC Opioid-Prescribing Guideline.降低缓解风险——美国疾病控制与预防中心阿片类药物处方指南
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Relationship between Nonmedical Prescription-Opioid Use and Heroin Use.非医疗处方阿片类药物使用与海洛因使用之间的关系。
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Risk of mortality on and off methadone substitution treatment in primary care: a national cohort study.在初级保健中使用美沙酮替代治疗的死亡风险:一项全国队列研究。
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阿片类物质使用障碍与妊娠

Opioid Use Disorder and Pregnancy.

作者信息

O'Donnell Frederick T, Jackson Daniel L

机构信息

Frederick T. O'Donnell, MD, Assistant Professor of clinical Anesthesiology, Department of Anesthesiology and Perioperative Medicine, University of Missouri Women's and Children's Hospital, Columbia, Missouri.

Daniel L. Jackson, MD, Assistant Professor of Clinical Obstetrics and Gynecology, Department of Obstetrics, Gynecology and Women's Health, University of Missouri Women's and Children's Hospital, Columbia, Missouri.

出版信息

Mo Med. 2017 May-Jun;114(3):181-186.

PMID:30228577
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6140233/
Abstract

Over-prescription of opioid pain medications and increases in heroin use have contributed to the sharp rise in opioid-related hospitalizations and overdose deaths among young adults in the United States, including pregnant women. This has imposed substantial direct and indirect costs to our nation's health care system. Effective treatment with methadone and buprenorphine is available, but significant barriers to care may restrict access for many. Improved screening tools and expanded access to treatments for substance use disorders are keys to addressing the epidemic of opioid use disorder.

摘要

阿片类止痛药物的过度处方以及海洛因使用的增加,导致美国年轻人(包括孕妇)中与阿片类药物相关的住院治疗和过量用药死亡人数急剧上升。这给美国的医疗保健系统带来了巨大的直接和间接成本。美沙酮和丁丙诺啡的有效治疗方法是可用的,但许多人在获得治疗方面可能受到重大障碍的限制。改进筛查工具并扩大物质使用障碍治疗的可及性是应对阿片类药物使用障碍流行的关键。