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[1]楊 瑞.骨科老年患者鎮(zhèn)痛藥的應(yīng)用概況及注意事項(xiàng)[J].中醫(yī)正骨,2019,31(02):39-43.
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骨科老年患者鎮(zhèn)痛藥的應(yīng)用概況及注意事項(xiàng)()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第31卷
期數(shù):
2019年02期
頁碼:
39-43
欄目:
綜 述
出版日期:
2019-02-20

文章信息/Info

作者:
楊 瑞
(天津市天津醫(yī)院,天津 300211)
關(guān)鍵詞:
疼痛 老年人 鎮(zhèn)痛藥 綜述
摘要:
疼痛是骨科老年患者的常見癥狀,多采用鎮(zhèn)痛藥治療。老年患者多數(shù)合并內(nèi)科疾病,用藥后容易出現(xiàn)不良反應(yīng),因此鎮(zhèn)痛藥的選擇至關(guān)重要。如何在保證鎮(zhèn)痛效果的同時(shí)減少不良反應(yīng),是臨床治療的關(guān)鍵。本文對(duì)骨科老年患者鎮(zhèn)痛藥的應(yīng)用概況及注意事項(xiàng)進(jìn)行了綜述。

參考文獻(xiàn)/References:

[1] 陳丹瓊,譚曉珍,朱肖奇,等.護(hù)理干預(yù)對(duì)下肢骨折術(shù)后患者疼痛及滿意度的影響[J].中國(guó)實(shí)用護(hù)理雜志,2009,25(11):32-33. [2] 李夢(mèng)詩,顧申,周玲君.慢性疼痛患者疼痛功能障礙和生活滿意度的影響因素分析[J].護(hù)理學(xué)報(bào),2014,21(24):5-8. [3] 王紅梅.舒適護(hù)理對(duì)上肢骨折術(shù)后患者疼痛及滿意度的影響研究[J].國(guó)際護(hù)理學(xué)雜志,2013,32(4):764-765. [4] 楊群英,楊園園,陶樹平,等.舒適護(hù)理對(duì)骨折患者術(shù)后疼痛及滿意度的影響[J].中國(guó)實(shí)用護(hù)理雜志,2010,26(35):32-33. [5] KAYE A D,BALUCH A R,KAYE R J,et al.Geriatric pain management,pharmacological and nonpharmacological considerations[J].Psychology and Neuroscience,2014,7(1):15-26. [6] PIMENTEL C B,BRIESACHER B A,GURWITZ J H,et al.Pain management in nursing home residents with cancer[J].J Am Geriatr Soc,2015,63(4):633-641. [7] PERGOLIZZI J,BÖGER R H,BUDD PERGOLIZZI J,et al.Opioids and the management of chronic severe pain in the elderly:consensus statement of an International Expert Panel with focus on the six clinically most often used World Health Organization Step III opioids(buprenorphine,fentanyl,hydromorphone,methadone,morphine,oxycodone)[J].Pain Pract,2008,8(4):287-313. [8] EISEN A,PORTER A,HOSHEN M,et al.The association between eGFR in the normal or mildly impaired range and incident cadiovascular disease:Age and sex analysis[J].Eur J Intern Med,2018,54:70-75. [9] MODIG S,ELMSTÅHL S.Kidney function and use of nonsteroidal anti-inflammatory drugs among elderly people:a cross-sectional study on potential hazards for an at risk population[J].Int J Clin pharm,2018,40(4):870-877. [10] INAFUKU T,NOZAKI H.Liver function of the most elderly patients[J].Rinsho Byori,2000,48(3):227-232. [11] BAERWALD C,VERDECCHIA P,DUQUESROIX B,et al.Efficacy,safety,and effects on blood pressure of naproxcinod 750 mg twice daily compared with placebo and naproxen 500 mg twice daily in patients with osteoarthritis of the hip:a randomized,double-blind,parallel-group,multicenter study[J].Arthritis Rheum,2010,62(12):3635-3644. [12] HUANG K C,HUANG T W,YANG T Y,et al.Chronic NSAIDs Use Increases the Risk of a Second Hip Fracture in Patients After Hip Fracture Surgery:Evidence From a STROBE-Compliant Population-Based Study[J].Medicine(Baltimore),2015,94(38):e1566. [13] AMINOSHARIAE A,KULILD J C,DONALDSON M.Short-term use of nonsteroidal anti-inflammatory drugs and adverse effects:An updated systematic review[J].J Am Dent Assoc,2016,147(2):98-110. [14] 老年慢性非癌痛診療共識(shí)編寫專家組.老年慢性非癌痛藥物治療中國(guó)專家共識(shí)[J].中國(guó)疼痛醫(yī)學(xué)雜志,2016,22(5):321-325. [15] 中國(guó)醫(yī)師協(xié)會(huì)疼痛科醫(yī)師分會(huì),國(guó)家臨床重點(diǎn)專科·中日醫(yī)院疼痛專科醫(yī)聯(lián)體,北京市疼痛治療質(zhì)量控制和改進(jìn)中心.慢性肌肉骨骼疼痛的藥物治療專家共識(shí)(2018)[J].中國(guó)疼痛醫(yī)學(xué)雜志,2018,24(12):881-887. [16] PERGOLIZZI J V,RAFFA R B,MARCUM Z,et al.Safety of buprenorphine transdermal system in the management of pain in older adults[J].Postgrad Med,2017,129(1):92-101. [17] QASEEM A,WILT T J,MCLEAN R M,et al.Noninvasive Treatments for Acute,Subacute,and Chronic Low Back Pain:A Clinical Practice Guideline From the American College of Physicians[J].Ann Intern Med,2017,166(7):514-530. [18] SRIUTTHA P,SIRICHANCHUEN B,PERMSUWAN U.Hepatotoxicity of Nonsteroidal Anti-Inflammatory Drugs:A Systematic Review of Randomized Controlled Trials[J].Int J Hepatol,2018,2018:5253623. [19] JESSURUN N,VAN PUIJENBROEK E.Relationship between structural alerts in NSAIDs and idiosyncratic hepatotoxicity:an analysis of spontaneous report data from the WHO database[J].Drug Saf,2015,38(5):511-515. [20] BESSONE F.Non-steroidal anti-inflammatory drugs:What is the actual risk of liver damage?[J].World J Gastroenterol,2010,16(45):5651-5661. [21] WHELTON A.Nephrotoxicity of nonsteroidal anti-inflammatory drugs:physiologic foundations and clinical implications[J].Am J Med,1999,106(5B):13S-24S. [22] ZHANG J,DING E L,SONG Y.Adverse effects of cyclooxygenase 2 inhibitors on renal and arrhythmia events:meta-analysis of randomized trials[J].JAMA,2006,296(13):1619-1632. [23] Coxib and Traditional NSAID Trialists'(CNT)Collaboration,BHALA N,EMBERSON J,et al.Vascular and upper gastrointestinal effects of non-steroidal anti-inflammatory drugs:meta-analyses of individual participant data from randomised trials[J].Lancet,2013,382(9894):769-779. [24] RUSCHITZKA F,BORER J S,KRUM H,et al.Differential blood pressure effects of ibuprofen,naproxen,and celecoxib in patients with arthritis:the PRECISION-ABPM(Prospective Randomized Evaluation of Celecoxib Integrated Safety Versus Ibuprofen or Naproxen Ambulatory Blood Pressure Measurement)Trial[J].Eur Heart J,2017,38(44):3282-3292. [25] DAVIS M P.Twelve reasons for considering buprenorphine as a frontline analgesic in the management of pain[J].J Support Oncol,2012,10(6):209-219. [26] COTTRELL J,O'CONNOR J P.Effect of Non-Steroidal Anti-Inflammatory Drugs on Bone Healing[J].Pharmaceuticals(Basel),2010,3(5):1668-1693. [27] BORGEAT A,OFNER C,SAPORITO A,et al.The effect of nonsteroidal anti-inflammatory drugs on bone healing in humans:A qualitative,systematic review[J].J Clin Anesth,2018,49:92-100. [28] KURMIS A P,KURMIS T P,O'BRIEN J X,et al.The effect of nonsteroidal anti-inflammatory drug administration on acute phase fracture-healing:a review[J].J Bone Joint Surg Am,2012,94(9):815-823. [29] ALTMAN R D,LATTA L L,KEER R,et al.Effect of nonsteroidal antiinflammatory drugs on fracture healing:a laboratory study in rats[J].J Orthop Trauma,1995,9(5):392-400.

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備注/Memo

備注/Memo:
(收稿日期:2018-10-25 本文編輯:郭毅曼)
更新日期/Last Update: 2019-02-20