回头看,在疼痛医学上向前迈进
Antonella Paladini1, Christopher Gharibo2, Sonia Khalbous3
1Life, Health, and Environmental Sciences (MESVA), University of L'Aquila, L'Aquila, ITA.
Cureus
|October 9, 2023
概括
疼痛管理已经从历史性的阿片类药物使用和滥用演变为生物心理社会方法. 未来的方向包括新疗法,干预技术和患者教育,以更好地控制疼痛和功能激活.
科学领域:
- 治疗疼痛的药物 疼痛的药物
- 医疗史 病史 病史
- 公共卫生 公共卫生
背景情况:
- 在20世纪80年代和90年代,阿片类药物的过度处方导致了一场公共卫生危机,影响了当前的处方做法.
- 大麻素,曾经被广泛使用,受到限制,但现在正在重新出现作为潜在的止痛药.
- 对疼痛的理解已经从纯粹的身体转变为文化背景下的生物心理社会现象.
研究的目的:
- 为了回顾疼痛医学的历史轨迹.
- 探索疼痛管理当前和未来的趋势.
- 强调生物心理社会方法和跨学科护理的重要性.
主要方法:
- 历史数据和最近的大会演讲的回顾 (2023年5月).
- 作者的研究,观点和意见的综合.
- 讨论不断变化的治疗目标,药物和技术.
主要成果:
- 阿片类药物危机凸显了处方过多/过少的风险.
- 大麻素显示出作为止痛剂的潜力.
- 干预性疼痛医学和跨学科诊所正在增长.
- 超声波越来越多地用于疼痛诊断和治疗.
- 疼痛被认为是一个复杂的生物心理社会问题.
结论:
- 疼痛管理是功能启用和人口健康的关键子专业.
- 未来的疼痛控制包括早期干预,患者教育,并尽量减少急性至慢性疼痛过渡.
- 新的治疗点,药物,注射途径和技术正在推动这一领域的发展.
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