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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.

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。

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