Section of General Internal Medicine, Boston University School of Medicine and Boston Medical Center, and Grayken Center for Addiction, Boston Medical Center, Boston, Massachusetts.
Ann Intern Med. 2022 Jan;175(1):ITC1-ITC16. doi: 10.7326/AITC202201180. Epub 2022 Jan 11.
Opioid use disorder (OUD) is a treatable chronic disorder with episodes of remission and recurrence characterized by loss of control of opioid use, compulsive use, and continued use despite harms. If untreated, OUD is associated with significant morbidity and mortality. Buprenorphine and methadone reduce fatal and nonfatal opioid overdose and infectious complications of OUD and are the first-line treatment options. Physicians have an important role to play in diagnosing OUD and its comorbidities, offering evidence-based treatment, and delivering overdose prevention and other harm reduction services to people who continue to use opioids. Interdisciplinary office-based addiction treatment programs support high-quality OUD care.
阿片类使用障碍(OUD)是一种可治疗的慢性疾病,其特征为阿片类药物使用失控、强迫性使用和尽管存在伤害仍持续使用,且有缓解和复发的阶段。如果未经治疗,OUD 与显著的发病率和死亡率相关。丁丙诺啡和美沙酮可减少 OUD 的致命和非致命阿片类药物过量以及感染并发症,是一线治疗选择。医生在诊断 OUD 及其合并症、提供基于证据的治疗以及为继续使用阿片类药物的人提供预防过量和其他减少伤害的服务方面发挥着重要作用。基于办公室的多学科成瘾治疗项目支持高质量的 OUD 护理。