为艾滋病毒感染者设立高剂量阿片类药物评估诊所的经验教训。

Lessons learnt from establishing a high dose opioid review clinic for people living with HIV.

作者信息

Laycock Helen, Crawford Vanessa, Rice Andrew Sc, Cox Sarah

机构信息

Clinical Lecturer in Pain Medicine, Department of Surgery & Cancer, Imperial College London, London, UK.

Honorary Consultant Psychiatrist, HIV Pain Management Clinic, Chelsea & Westminster Hospital NHS Foundation Trust, London, UK.

出版信息

Pain Manag. 2019 Jan 1;9(1):37-44. doi: 10.2217/pmt-2018-0041. Epub 2018 Dec 3.

DOI:10.2217/pmt-2018-0041

PMID:30501569

Abstract

People living with HIV represent a unique aging population, living with a chronic condition associated with significant pain. A number take high dose, long-term opioids to manage moderate to severe chronic pain, presenting specific risks. This article highlights the size and impact of this problem and outlines the service objectives and set up of a specialist clinic to manage people living with HIV on high dose opioids, alongside its successes and learning points.

摘要

感染艾滋病毒的人群是一个独特的老龄化群体，他们患有与严重疼痛相关的慢性病。许多人服用高剂量的长期阿片类药物来控制中度至重度慢性疼痛，这带来了特定风险。本文强调了这一问题的规模和影响，并概述了一家专科诊所的服务目标和设立情况，该诊所旨在管理服用高剂量阿片类药物的艾滋病毒感染者，同时介绍了其取得的成功和经验教训。