个性化评估和管理非特异性腰部疼痛
Brigitte Wirth1, Petra Schweinhardt1
1Department of Chiropractic Medicine, Integrative Spinal Research Group, Balgrist University Hospital, University of Zurich, Zurich, Switzerland.
European journal of pain (London, England)
|October 24, 2023
概括
非特异性腰痛 (NSLBP) 是一种复杂的疾病,需要个性化管理. 确定疼痛机制和患者因素对于NSLBP的有效治疗和研究至关重要.
科学领域:
- 疼痛医学 医学 疼痛医学
- 康复医学 康复医学 康复医学
- 临床研究 临床研究
背景情况:
- 非特异性腰部疼痛 (NSLBP) 是全球残疾的主要原因,但在临床试验中通常表征不佳.
- 目前对NSLBP的诊断和治疗方法缺乏精度,阻碍了有效的患者管理.
研究的目的:
- 审查诊断NSLBP的挑战.
- 概述NSLBP治疗指南和表型化中的当前知识差距.
- 强调需要研究临床上有意义的小组,以进行定制治疗.
主要方法:
- 关于NSLBP诊断和治疗现有文献的叙述性综述.
- 对目前疼痛机制评估方法的分析.
- 综合关于NSLBP中心理社会和情境因素的信息.
主要成果:
- NSLBP是一种复杂的生物心理社会状况,需要评估感觉性,神经病变性和感觉性疼痛机制.
- 个性化的NSLBP管理需要评估心理社会因素,并发病症和患者偏好.
- 治疗应该是个性化的,包括定制的方法,如运动,教育和药物治疗,并进行持续的重新评估.
结论:
- 准确的NSLBP患者的表型,考虑到他们独特的疼痛机制和观点,是个性化临床管理的关键.
- 对临床上有意义的NSLBP亚组进行进一步的研究对于完善治疗策略和改善患者治疗结果至关重要.
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