阿片类药物危机与足踝手术后的急性疼痛管理
Opioid Crisis and Acute Pain Management After Foot and Ankle Surgery.
作者信息
Bowlby Melinda A, Crawford Mary E
机构信息
Department of Orthopedics, Division of Podiatry, Swedish Medical Center, Seattle, WA, USA; Department of Orthopedics, Division of Podiatry, Providence Medical Center, Everett, WA, USA; Private Practice, The Ankle and Foot Clinic of Everett, 3131 Nassau Street Suite 101, Everett, WA 98201, USA.
Department of Orthopedics, Division of Podiatry, Providence Medical Center, Everett, WA, USA; Private Practice, The Ankle and Foot Clinic of Everett, 3131 Nassau Street Suite 101, Everett, WA 98201, USA.
出版信息
Clin Podiatr Med Surg. 2019 Oct;36(4):695-705. doi: 10.1016/j.cpm.2019.06.009. Epub 2019 Jul 27.
Opioid abuse has plagued the United States, with a resurgence since the early 2000s. Governmental agencies, pharmaceutical companies, patients, and physicians have all contributed to this crisis. Severe pain has been reported following foot and ankle surgery. There are current national guidelines for chronic opioid prescribing, but guidelines for acute pain have not been established. Prescribing fewer opioids, education on opioid risks, proper disposal of unused medication, and participating in prescription monitoring programs help reduce opioid abuse. Multimodal analgesia is paramount in managing pain while reducing opioid consumption after postoperative foot and ankle surgery.
阿片类药物滥用一直困扰着美国，自21世纪初以来再度抬头。政府机构、制药公司、患者和医生都对这场危机负有责任。据报道，足踝手术后会出现剧痛。目前有关于慢性阿片类药物处方的国家指南，但急性疼痛的指南尚未制定。减少阿片类药物的处方、开展阿片类药物风险教育、妥善处理未使用的药物以及参与处方监测计划有助于减少阿片类药物滥用。在足踝手术后管理疼痛并减少阿片类药物消耗方面，多模式镇痛至关重要。
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