神经损伤后疼痛管理的概念:多学科方法
Amanda Faust1, Stephen J DeMartini1, Abigail Carey-Ewend1
1Department of Orthopaedic Surgery, Washington University School of Medicine, St. Louis, MO.
Journal of hand surgery global online
|October 9, 2024
概括
这次审查发现,在外围神经受伤后,对有效的疼痛管理的证据有限. 需要更多的研究来指导医生治疗神经损伤疼痛患者.
科学领域:
- 神经学 神经学
- 疼痛管理 疼痛管理
- 再生医学是一种再生医学.
背景情况:
- 周围神经受伤会导致慢性疼痛,严重影响患者的生活质量.
- 对神经损伤后疼痛的有效管理策略对于患者的康复和功能至关重要.
研究的目的:
- 系统地审查和识别当前治疗方法来管理外围神经损伤后的疼痛.
- 综合现有的关于对外围神经损伤的疼痛管理策略的文献.
主要方法:
- 在Embase.com,Ovid-Medline All和Scopus.com进行了全面的文献搜索.
- 搜索术语包括外围神经损伤和疼痛管理,数据库搜索于2023年8月22日完成.
- 审查了包括治疗方法,队列和案例系列研究在内的36篇文章,这些文章于1981年至2023年间发表.
主要成果:
- 该审查确定了36篇相关文章,其中15篇详细介绍了周围神经损伤后疼痛的治疗方法.
- 出版年份从1981年到2023年不等,这表明了这个领域的长期挑战.
- 审查文献的很大一部分 (22 篇文章) 包含队列和案例系列研究.
结论:
- 很少有文献详细介绍了外围神经受伤后疼痛的各种治疗策略的有效性.
- 很少有研究为管理这些复杂病例的医疗保健提供者提供明确的,逐步的临床指导.
- 进一步的研究是必不可少的,以建立基于证据的指导方针来治疗外围神经损伤后的疼痛.
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