慢性腹部不适综合征 (CADS):定义和讨论一个新的诊断
Mayank Gupta1, Anand S Patil2, Ahish Chitneni3
1Kansas Pain Management & Neuroscience Research Center, LLC, Overland Park, KS, USA.
我们介绍慢性腹部不适综合征 (CADS),这是一种新的诊断方法,用于治疗没有急性病理的慢性腹痛. 这种潜在的神经性综合征有助于临床医生识别患者进行疼痛管理干预.
科学领域:
- 胃肠病学和疼痛医学 胃肠病学和疼痛医学
- 神经科学是一个神经科学.
背景情况:
- 慢性腹痛是一种常见的,往往未被诊断的疾病.
- 当前的诊断途径可能无法充分解决没有可识别的急性病理的情况.
研究的目的:
- 提出一个新的诊断范式,慢性腹部不适综合征 (CADS).
- 为临床医生提供标准和诊断CADS的工具.
- 为指导患者转诊以获得针对性的疼痛管理干预措施.
主要方法:
- 基于临床表现的CADS描述,包括慢性腹痛,消化不良,胀气,恶心和吐.
- 推断一种神经性病理生理学,涉及内脏交感或腹壁 afferent神经.
- 开发一种结合临床,诊断和功能标准的诊断工具.
主要成果:
- 提出的诊断标准涵盖了一系列的症状和征兆.
- 介绍了一种工具,以协助CADS的系统诊断.
- 这些标准旨在确定那些可能受益于专门疼痛管理的患者.
结论:
- CADS为理解和诊断慢性腹痛的一个子集提供了一个框架.
- 这种模式可以改善患者选择疼痛医生的评估和干预.
- 有效的CADS管理可能会改善患者的治疗结果,并缓解慢性不适.
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