乳房切除术后疼痛综合征:一篇评论文章和新兴的治疗方法
Jay D Shah1, Kennedy Kirkpatrick1, Krishna Shah2
1Anesthesiology, Baylor College of Medicine, Houston, USA.
Cureus
|April 22, 2024
概括
乳房切除术后疼痛综合征 (PMPS) 是乳房手术后的慢性疼痛. 本综述检查了治疗方法,强调神经调节和物理治疗,以减少阿片类药物依赖并改善生活质量.
科学领域:
- 疼痛管理 疼痛管理
- 在瘤学瘤学.
- 神经学 神经学
背景情况:
- 乳房切除术后疼痛综合征 (PMPS) 是乳房手术后的慢性疼痛.
- 这种情况可能被低估,导致有效治疗的高水平证据有限.
- 对PMPS的非阿片类药物疼痛管理策略的需求越来越大.
研究的目的:
- 审查治疗PMPS的最新证据.
- 探索药理和干预治疗选项.
- 提出一个管理PMPS的框架,强调早期神经调节和物理治疗.
主要方法:
- 对PMPS治疗现有证据的文献综述.
- 药物的探索,神经阻断,射频切除,神经调节和内药物输送.
- 对本地化疼痛神经调节技术近期进展的分析.
主要成果:
- 讨论了PMPS各种治疗选择的证据.
- 神经调节技术由于它们对局部疼痛的特异性而具有前景.
- 建议制定PMPS护理的框架,整合早期神经调节和治疗.
结论:
- 有效管理PMPS需要采用多模式的方法.
- 建议在早期考虑与功能和物理治疗一起进行神经调节.
- 这些策略旨在减少药物负担并提高患者的生活质量.
相关概念视频
Analgesia and Pain Management
Pain is critical to various clinical pathologies, provoking an urgent need for effective management. Pain, whether acute or chronic, is a complex neurochemical process. Its alleviation depends on the type, with nonopioid analgesics effective for mild to moderate pain, such as musculoskeletal or inflammatory pain, while neuropathic pain responds best to anticonvulsants, tricyclic antidepressants, or serotonin/norepinephrine reuptake inhibitors. For severe acute or chronic pain, opioids may be...
Peripheral Artery Disease IV: Nursing Management
The nursing management of a patient with peripheral artery disease (PAD) begins with a thorough assessment of the patient’s health history and clinical manifestations.AssessmentHealth History: Evaluate the patient’s history of hypertension, hyperlipidemia, family history of cardiovascular issues, and lifestyle factors such as dietary patterns, smoking, and physical activity.Physical Examination:Assess the affected extremity for decreased or absent peripheral pulses, temperature changes,...
Peripheral Artery Disease V: Postoperative Nursing Management
During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...


