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炎症性肠道疾病中的慢性腹痛:一本实用指南
Samantha Baillie1, Christine Norton2, Sonia Saxena3
1Department of Gastroenterology, St George's University Hospitals NHS Foundation Trust, London, UK.
在炎症性肠病 (IBD) 中治疗慢性疼痛需要采用整体方法. 有效的策略结合了药物治疗,心理支持和生活方式调整,以获得更好的患者结果.
科学领域:
- 胃肠病学 胃肠病学
- 疼痛管理 疼痛管理
- 心理学 心理学 心理学
背景情况:
- 疼痛是炎症性肠病 (IBD) 中普遍存在且往往不充分解决的症状.
- 在IBD中,慢性疼痛是复杂的,并且经常对包括阿片类药物在内的常规止痛药具有抗性.
研究的目的:
- 为临床医生提供一篇关于治疗IBD患者慢性腹痛的实用综述.
- 强调以患者为中心的方法在解决疼痛问题的重要性.
主要方法:
- 审查当前的药理疗法,包括低剂量三环抗抑郁药.
- 探索心理干预措施,如认知行为疗法.
- 讨论生活方式的修改,包括饮食变化,如低FODMAP饮食重叠IBS.
主要成果:
- 药物治疗通常不足以治疗慢性IBD疼痛.
- 心理疗法和饮食干预措施在疼痛管理方面表现有前途.
- 一个信任的,长期的患者-提供者关系对于整体护理至关重要.
结论:
- 在IBD中有效的慢性疼痛管理需要采用多模式策略.
- 整合药理学,心理,生活方式和饮食方法提供了最好的结果.
- 解决疼痛对日常生活的影响对于患者的福祉至关重要.
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