Physical Medicine and Rehabilitation, University of Missouri, Columbia, MO, USA.
Law Office of Victoria Soto, Austin, TX, USA.
Curr Pain Headache Rep. 2022 Dec;26(12):883-887. doi: 10.1007/s11916-022-01091-1. Epub 2022 Dec 2.
Appropriate use of opioid analgesics is a key concern within the field of pain medicine. Several methods exist to discourage abuse and facilitate effective treatment regimens. Pill counting is often cited as one such method and frequently employed in varying fashions within clinical practice. However, to date, there is no published review of the evidence to support this practice. This was a comprehensive review of the available literature that was conducted with analysis of the efficacy and practical application of pill counting during treatment of chronic pain conditions.
There is paucity in data regarding pill count importance in pain management. Pill count is a very important tool to monitor compliance of opioids use which in turn can prevent several complications associated with opioid misuse. Pill counting may be used in conjunction with other abuse deterrents, although increased support for this practice requires standardized methods of pill counting and further analysis of its effectiveness.
阿片类镇痛药的合理使用是疼痛医学领域的一个关键关注点。有几种方法可以防止滥用并促进有效的治疗方案。清点药片经常被认为是一种这样的方法，并在临床实践中以不同的方式频繁使用。然而，迄今为止，没有发表任何关于支持这种做法的证据的综述。这是对现有文献的全面综述，分析了在治疗慢性疼痛疾病时清点药片在疗效和实际应用方面的作用。
关于在疼痛管理中清点药片重要性的数据很少。药片计数是监测阿片类药物使用依从性的一个非常重要的工具，这反过来又可以预防与阿片类药物滥用相关的几种并发症。可以将药片计数与其他防止滥用的方法结合使用，尽管需要标准化的药片计数方法和进一步分析其效果来增加对此类实践的支持。
