周围动脉疾病中的急性疼痛管理:一个整体的,超越阿片类药物的,个性化的多模式方法
Maria P Ntalouka1, Athanasios Chatzis1, Petroula Nana2
1University of Thessaly Faculty of Medicine; Larissa University General Hospital, Department of Anaesthesiology, Larissa, Greece.
Turkish journal of anaesthesiology and reanimation
|December 16, 2024
概括
周围动脉疾病 (PAD) 疼痛管理具有挑战性. 本综述提出了一个个性化,多模式的方法超越阿片类药物,以改善PAD患者的治疗结果.
科学领域:
- 血管医学 血管医学
- 疼痛管理 疼痛管理
- 心血管研究研究心血管研究
背景情况:
- 周围动脉疾病 (PAD) 很常见,随着人口老龄化而增加.
- 疼痛是PAD的一个关键症状,影响疾病的进展和生活质量.
- 由于有限的证据和复杂的患者因素,PAD的急性疼痛管理很困难.
研究的目的:
- 为PAD患者提供整体的,个性化的,多模式的疼痛管理策略.
- 探索PAD的疼痛途径,以告知治疗方法.
- 在PAD疼痛治疗中倡导一种"超越阿片类药物"的方法.
主要方法:
- 对PAD疼痛机制和管理的当前文献的综述.
- 分析导致PAD疼痛的病理生理因素.
- 综合了专家对多模式疼痛策略的建议.
主要成果:
- PAD中的疼痛是多因素的,需要量身定制的方法.
- 不充分的疼痛控制可以使PAD中神经内分泌应激反应恶化.
- 目前对急性PAD疼痛管理的证据有限.
结论:
- 一个个性化的,以患者为中心的多模式疼痛策略对于PAD至关重要.
- 管理应该解决潜在的病理生理机制.
- 建议采用"超越阿片类药物"的方法来全面缓解PAD疼痛.
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