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中国药学(英文版) ›› 2023, Vol. 32 ›› Issue (2): 122-129.DOI: 10.5246/jcps.2023.02.010

• 【药事管理与临床药学专栏】 • 上一篇    下一篇

美国阿片危机及其应对策略

王昌1,4,#, 江琛2,#, 陈敬3,*(), 张程亮4,*()   

  1. 1. 兰州大学第二医院 药剂科, 甘肃 兰州 730030
    2. 匹兹堡大学药学院 药物科学和计算化学基因组学筛选中心, 美国 匹兹堡 15261
    3. 北京大学药学院 药事管理与临床药学系, 北京 100191
    4. 华中科技大学 同济医学院附属同济医院 药学部, 湖北 武汉 430030
  • 收稿日期:2022-10-16 修回日期:2022-11-09 接受日期:2022-11-12 出版日期:2023-02-28 发布日期:2023-02-28
  • 通讯作者: 陈敬, 张程亮
  • 作者简介:
    + Tel.: +86-10-82805879, E-mail:
    + Tel.: +86-27-83663519, E-mail:
  • 基金资助:
    The health industry scientific research plan management project of the Gansu Provincial Health Commission (Grant No. GSWSKY2020-48).

The opioid crisis in the United States and the strategies to address the epidemic

Chang Wang1,4,#, Chen Jiang2,#, Jing Chen3,*(), Chengliang Zhang4,*()   

  1. 1 Department of Pharmacy, Lanzhou University Second Hospital, Lanzhou 730030, China
    2 Department of Pharmaceutical Sciences and Computational Chemical Genomics Screening Center, School of Pharmacy, University of Pittsburgh, Pittsburgh, Pennsylvania 15261, United States
    3 Department of Pharmacy Administration and Clinical Pharmacy, School of Pharmaceutical Sciences, Peking University Health Science Center, Beijing 100191, China
    4 Department of Pharmacy, Tongji Hospital Affiliated with Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China
  • Received:2022-10-16 Revised:2022-11-09 Accepted:2022-11-12 Online:2023-02-28 Published:2023-02-28
  • Contact: Jing Chen, Chengliang Zhang
  • About author:
    # These authors contributed equally to this work.

摘要:

阿片类药物可以缓解疼痛, 是临床镇痛治疗的主要药物。但如果管理不善或应用不当, 可能造成药物滥用、社会危害, 甚至公共卫生事件。美国近20年来经历了三次阿片危机, 不仅对患者的健康产生不良影响, 而且给社会造成巨大的经济损失和资源浪费。本文通过回顾美国发生三次阿片危机的过程, 分析危机发生的原因, 总结其应对阿片类药物全国性流行的策略和阿片危机对临床工作的启示, 为阿片类药物的临床应用和管理提供参考。

关键词: 阿片危机, 药物滥用, 疼痛管理

Abstract:

Opioids can alleviate pain and are the main drugs for clinical analgesic treatment. However, due to poor management or improper application, it may cause drug abuse, social harm, and even public health events. The United States has experienced three opioid crises in the past 20 years, which have not only adversely affected patients’ health, but also caused significant economic losses and resource waste to society. This paper reviewed the process of the three opioid crises in the United States, analyzed the causes, and summarized the strategies to address the national epidemic of opioids and the enlightenment of the opioid crisis on clinical work to provide references for the management and clinical use of opioids.

Key words: Opioid crisis, Drug abuse, Pain management

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