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关于再生医学治疗慢性疼痛的基于证据的临床实践指南:来自多专业工作组的共识报告
Ryan S D'Souza1, Yeng F Her1, Nasir Hussain2
1Department of Anesthesiology and Perioperative Medicine, Mayo Clinic, Rochester, MN, USA.
Journal of pain research
|September 16, 2024
概括
可以注射的生物药物对慢性疼痛有前途,可能改善疼痛缓解和生活质量. 需要进一步的研究来标准化治疗方法,并比较再生医学治疗的不同生物选择.
科学领域:
- 再生医学是一种再生医学.
- 疼痛管理 疼痛管理
- 生物药物治疗疗法 生物药物治疗
背景情况:
- 可以注射的生物药物正在研究慢性疼痛,但疗效和应用仍在争论中.
- 再生医学提供了治疗疼痛的潜力,但需要基于证据的指导方针.
研究的目的:
- 建立基于证据的指导方针,用于慢性疼痛管理中的再生医学治疗.
- 解决由美国疼痛和神经科学学会 (ASPN) 确定的教育需求.
主要方法:
- 专家共识开发使用修改后的Delphi方法.
- 根据美国预防服务工作组 (USPSTF) 标准进行证据评估.
- 对用于治疗疼痛的注射生物制剂的文献进行系统审查.
主要成果:
- 讨论了关于注射生物止痛药的16个关键问题.
- 研究的生物类型,机制,治疗各种疼痛症状的疗效,以及术前的考虑.
- 在手术增强,剂量,比较疗效,法规和并发症方面的研究作用.
结论:
- 与传统治疗相比,可注射生物药物可能在精心选择的慢性疼痛患者中提供更好的结果.
- 高质量的随机临床试验对于建立报告标准,优化协议和比较生物制剂至关重要.
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