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首页> 外文期刊>Current opinion in anaesthesiology >Opioids, pain management and the law
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Opioids, pain management and the law

机译：阿片类药物，痛苦管理和法律

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PURPOSE OF REVIEW: Approximately 100 million people suffer from chronic pain in the USA. Opioid medications are commonly prescribed to treat pain, but are becoming the most widely misused controlled substance nationally. Physicians who treat patients with chronic pain must be cognizant of the federal and state policies that govern the distribution of opioid medications as well as the current standards of medical practice for opioid prescribing. RECENT FINDINGS: The laws and policies regarding the standard medical practice for opioid prescribing are constantly subject to revision. The National Drug Control Policy announced its plan to fight prescription drug abuse in 2011 and unveiled the Risk Evaluation and Management Strategy initiative. Currently there is a Risk Evaluation and Management Strategy for Transmucosal Immediate-Release Fentanyl. Other resources, such as state-run prescription drug monitoring programs, are also available to many physicians. The level of participation in these programs by physicians and pharmacists varies by state, and funding for continuation of these programs is an ongoing issue. SUMMARY: The problems of undertreated pain and the epidemic of prescription drug abuse have coincided, creating a need for medical and social policy that protects society and access to appropriate care for those in pain. Federal and state laws are in evolution, and clinicians must remain aware of these changes as well as the issues behind them that will impact safe and appropriate care of patients in pain.
机译：审查目的：约1亿人患有美国慢性疼痛。阿片类药物通常规定治疗疼痛，但正在成为全国最广泛滥用的受控物质。治疗慢性疼痛患者的医生必须认识到治理阿片类药物分布的联邦和国家政策以及表述规定的目前的医疗实践标准。最近的调查结果：对阿片类药物规定的标准医疗实践的法律和政策不断进行修订。国家药物管制政策宣布2011年对抗处方药滥用的计划，并揭开风险评估和管理战略倡议。目前，透射虫释放芬太尼有风险评估和管理策略。许多医生也可提供其他资源，例如国营处方药监测计划。医生和药剂师参与这些计划的程度因国家而异，延续这些方案的资金是一个正在进行的问题。摘要：疼痛症的问题和处方药物滥用的流行恰逢，创造了对医疗和社会政策的需求，以保护社会和获得适当照顾痛苦的人。联邦和州法律处于演变，临床医生必须仍然意识到这些变化以及它们背后的问题，这将影响痛苦的患者的安全和适当的护理。

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