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由于脊柱辅助神经造成的慢性肩部疼痛,为改善护理整合提供了机会
Alice L Ye1, Sudhakar Tummala2, Suchi Shah3
1Department of Pain Medicine, The University of Texas MD Anderson Texas Center, Houston, TX 77030, USA.
Pain management
|September 13, 2024
概括
性脊柱辅助神经 (SAN) 损伤导致慢性肩部疼痛,并且经常被误诊,延迟治疗. 综合护理途径可以改善SAN的早期识别和管理.
科学领域:
- 神经学 神经学
- 疼痛管理 疼痛管理
- 手术康复手术康复
背景情况:
- 慢性肩部疼痛经常与有毒性脊柱辅助神经 (SAN) 损伤有关.
- 延迟诊断和不一致的SAN治疗导致患者的治疗结果较差.
- 多学科的护理协调是必不可少的,但往往缺乏.
研究的目的:
- 为了突出SAN损伤造成慢性肩部疼痛的认可不足.
- 提出一个案例系列,证明诊断延迟和治疗变化.
- 倡导综合护理途径,以改善SAN伤害管理.
主要方法:
- 六名患者的回顾性病例系列,他们患有耐火性肩部疼痛.
- 分析诊断时间表和治疗策略.
- 对SAN麻的当前管理协议的审查.
主要成果:
- 最初所有6名患者都错过了SAN,平均诊断延迟21个月.
- 在所有提交的病例中,SAN的治疗方法不一致.
- 只有一个患者接受了针对SAN损伤的有针对性的护理.
结论:
- 早期怀疑和诊断SAN麻对于及时干预至关重要.
- 综合护理途径可以促进多学科团队的参与,改善结果.
- 需要系统性改进来管理未被诊断的神经病痛状况,如SAN损伤.
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