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在过去8年多的时间,注射毒品的人在AIDS患者群体中的增加率是最高的,特别是在大都市的中心[1]。担心成瘾和对有关药物滥用过分关注影响病人的依从性。被“求药”患者所操纵的内科医生经常不愿意使用大剂量的麻醉性镇痛剂来控制疼痛。大多数临床医生推荐社区全科医生建立明
For more than eight years, those who inject drugs have seen the highest rates of increase in the AIDS patient population, particularly in the metropolitan centers [1]. Fear of addiction and over-focus on drug abuse affect patient compliance. Physicians steered by “drug seeking” patients are often reluctant to use high doses of narcotic analgesics to control their pain. Most clinicians recommend community GPs to establish their own