慢性盆腔疼痛;不仅仅是膀
Bert Messelink1, Ida Flink2, Ana Dos Santos3
1Medical Centre Leeuwarden, Department of Urology, Leeuwarden, The Netherlands.
慢性盆腔疼痛管理正在发展. 新方法侧重于盆地肌肉和心理因素,从以器官为中心的观点转向整体的患者护理,以获得更好的结果.
科学领域:
- 疼痛医学 医学 疼痛医学
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 心理学 心理学 心理学
背景情况:
- 慢性盆腔疼痛 (CPP) 显著影响患者的生活质量.
- 医疗专业人员经常难以识别导致CPP的特定病理.
- 传统的CPP诊断和治疗方法往往取得有限的成功.
研究的目的:
- 审查了解和管理慢性盆腔疼痛的最新进展.
- 强调在CPP中考虑肌肉肌肉和心理方面的重要性.
- 引入更新的术语和对患者护理的整体方法.
主要方法:
- 关于慢性骨盆疼痛机制和治疗的当前文献的综述.
- 分析新出现的治疗点,包括盆地肌肉和中心疼痛处理.
- 讨论心理因素的整合和整体人格的方法.
主要成果:
- 增加了对肌肌的贡献的关注,特别是盆地肌肉在CPP中的作用.
- 认可大脑,心理因素和慢性疼痛之间的重要相互作用.
- 慢性疼痛在ICD-11中被纳入",慢性原发性疼痛"的引入,意味着一个范式的转变.
结论:
- 一个更广泛的,整体的视角增强了患者的体验,让他们感觉得到承认和理解.
- 管理CPP的多学科合作可以改善临床结果和专业满意度.
- 整合肌肉肌肉和心理方法为有效的CPP管理提供了新的途径.
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