女性慢性盆腔疼痛:一篇综述
Georgine Lamvu1,2, Jorge Carrillo1,2, Chensi Ouyang1,2
1Division of Surgery, Gynecology Section, Veterans Affairs Medical Center, Orlando VA Healthcare System, Orlando, Florida.
慢性盆腔疼痛 (CPP) 影响全球数以百万计的人, 有效的管理需要全面的生物心理社会方法, 整合病史,创伤信息的护理, 和跨学科的治疗策略.
科学领域:
- 女性健康
- 治疗疼痛
- 胃肠病学
背景情况:
- 慢性盆腔疼痛 (CPP) 影响全球26%的女性,尽管80%的病例非妇科起源,但经常导致侵入性手术.
- 患者和临床医生因为缺乏有效治疗方法而感到丧.
- 慢性肺炎通常与非盆腔疼痛疾病和并发症同时发生,从而加剧疼痛和残疾.
研究的目的:
- 根据共识的指导方针审查CPP的评估和管理.
- 改善慢性肺炎的临床评估,治疗策略和患者与临床医生的互动.
- 为解决CPP复杂多因素性质提供一个框架.
主要方法:
- 总结了CPP评估和管理的共识指南中的建议.
- 强调全面的生理心理评估的重要性,包括病史和创伤相关的护理.
- 强调多模式,跨学科的治疗方法,避免单一器官病理学重点.
主要成果:
- 肌肉骨疼痛和功能障碍在50- 90%的慢性肺炎患者中存在.
- 生物心理社会因素显著相互作用,导致和影响慢性盆腔疼痛.
- 综合性评估需要详细的病史,关于疼痛机制的患者教育,以及延长探访时间.
结论:
- 有效的CPP管理需要考虑中心介导的疼痛以及骨盆和非骨盆的体质和内脏因素.
- 对于理解和治疗慢性骨盆疼痛, 一个整体的生理心理模型至关重要.
- 跨学科的护理和以患者为中心的方法对于改善CPP管理的结果至关重要.
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