Department of Anesthesiology and Perioperative Medicine, Mayo Clinic, Rochester, MN.
Department of Psychiatry, Mayo Clinic, Rochester, MN.
Mayo Clin Proc. 2020 Apr;95(4):793-800. doi: 10.1016/j.mayocp.2020.02.002.
The fact that opioids are valuable tools for the management of pain has been known and used for thousands of years. Currently, millions of Americans are treated annually with opioids, and many of these patients are elderly. Opioids present risks to geriatric patients, some of which are unique to the population, and providers should have a good grasp of those risks. An understanding of how to select appropriate medications for the management of pain and of the myriad of alternatives available for pain management is vital to the care of older patients. This article presents a review, for primary care providers, of issues unique to opioid management in older adults.
阿片类药物是疼痛管理的有效工具，这一事实已经被人们认识和应用了数千年。目前，每年有数百万美国人接受阿片类药物治疗，其中许多是老年人。阿片类药物对老年患者存在风险，其中一些风险是该人群所特有的，因此医务人员应该很好地掌握这些风险。了解如何选择合适的药物来管理疼痛，以及管理疼痛的众多替代方法，对于老年患者的护理至关重要。本文为初级保健提供者提供了一篇综述，介绍了老年人阿片类药物管理中独特的问题。
