慢性疼痛の管理について

M A Ashburn¹, P S Staats

¹Department of Anesthesiology, University of Utah Health Sciences Center, Salt Lake City 84132, USA.

Lancet (London, England)

|June 8, 1999

まとめ

慢性疼痛管理には,包括的な評価と学際的なアプローチが必要です. 治療は,苦しみを軽減し,機能を改善することに焦点を当てており,必ずしも治療法ではありません.

科学分野:

痛み薬薬剤痛み薬剤薬剤
リハビリテーション医学リハビリテーション医学

背景:

慢性疼痛は,重大な苦しみと障害につながる一般的な状態です.
治療が適切でないことが多いため,患者の身体的,精神的な健康に悪影響を及ぼします.
関連する症状には,うつ病,睡眠障害,疲労などがあります.

研究の目的:

慢性疼痛の評価と管理の重要なコンポーネントを概説する.
分野間の介護モデルの必要性を強調する.
慢性疼痛に対する様々な治療的介入について説明する.

主な方法:

総合的な患者評価は,効果的な慢性疼痛管理の礎石です.
多くの場合,学際的なチームアプローチが求められます.
治療戦略は,個々の患者のニーズに合わせて作られています.

主要な成果:

効果的な管理には,薬剤,神経ブロック,理学療法,行動介入を含む治療法の組み合わせが必要です.
特定のケースでは,インプラント可能なデバイスを使用することができます.
頻繁な再評価を伴う長期的ケアがしばしば必要である.

結論:

慢性疼痛管理は,痛みや苦しみを軽減し,身体的,精神的な機能を向上させることを目的としています.
治癒は必ずしも達成可能ではないため,機能改善を主な目標にしています.
理想的な結果を出すには,個別化され,多学科的なアプローチが不可欠です.

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