我感觉到了! 因此,我在DOC患者中从疼痛到意识
Francesco Riganello1, Paolo Tonin1, Andrea Soddu2
1Research in Advanced Neurorehabilitation, S. Anna Institute, 88900 Crotone, Italy.
International journal of molecular sciences
|July 29, 2023
概括
准确的疼痛评估和管理对于有意识障碍 (DOC) 的患者至关重要. 有效的疼痛管理甚至可以帮助检测意识的变化,有助于恢复.
科学领域:
- 神经学 神经学
- 疼痛医学 医学 疼痛医学
- 康复 康复 康复 康复
背景情况:
- 患有意识障碍 (DOC) 的患者的疼痛评估和管理存在重大临床挑战.
- 有效的疼痛管理对于患者护理至关重要,可能会影响意识的检测和恢复.
研究的目的:
- 审查疼痛在意识中的作用.
- 探索DOC患者疼痛评估和药物治疗方面的挑战.
- 检查疼痛评估对检测意识变化的影响.
主要方法:
- 这篇叙事综述综合了当前关于DOC疼痛的文献.
- 它讨论了行为疼痛评估尺度,包括知觉昏迷尺度 (NCCS) 和其修订版.
- 该审查审查了在DOC中药理干预及其争议.
主要成果:
- 在DOC中疼痛评估是复杂的,关于适当的药理疗法正在进行辩论.
- 行为尺度,如Nociception Coma Scale,有助于评估疼痛.
- 新出现的证据表明,疼痛评估可以预测无反应患者的意识水平变化.
结论:
- 疼痛管理是关键的,但具有挑战性的,为有意识障碍的患者提供护理的组成部分.
- 准确的疼痛评估对于监测和潜在预测意识变化至关重要.
- 对疼痛管理策略的进一步研究可能会改善DOC患者的治疗结果.
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