关于慢性疼痛管理的最新情况
Paul Glare1,2, Melani Mahendran2, Andrew D Weiss1,2
1Northern Clinical School, Sydney Medical School, Faculty of Medicine & Health, University of Sydney, Sydney, New South Wales, Australia.
Internal medicine journal
|February 6, 2025
概括
慢性疼痛管理至关重要,特别是在阿片类药物流行后. 本综述更新了医生对评估和治疗长期疼痛的最新情况,重点关注非阿片类药物药物治疗和自我管理策略.
科学领域:
- 医学科学 医学科学 医学科学
- 疼痛管理 疼痛管理
- 临床医学 临床医学
背景情况:
- 慢性疼痛是一种普遍的疾病,通常在报告的症状和确定的组织损伤之间存在显著差异.
- 从20世纪90年代到2010年代中期,阿片类止痛药被广泛推广用于慢性非癌症疼痛,导致广泛的滥用和过量死亡.
- 阿片类药物危机促使人们重新评估慢性疼痛管理策略.
研究的目的:
- 为医学研究员和实习生提供关于成人患者慢性疼痛的评估和管理的最新概述.
- 讨论除了阿片类药物之外的药物治疗选择,包括治疗神经病痛的抗抑郁药和抗药.
- 审查干预程序和慢性疼痛疼痛自我管理培训的有效性.
主要方法:
- 文献综述和综合有关慢性疼痛评估和治疗的当前证据.
- 专注于阿片类药物流行后的药物治疗,干预性疼痛管理和自我管理培训.
- 讨论慢性疼痛患者的管理策略,特别是那些长期症状和治疗失败的患者.
主要成果:
- 药物治疗,包括抗抑郁药和抗药,在治疗神经病痛后阿片类药物流行中发挥着关键作用.
- 干预性手术为慢性疼痛管理提供了额外的选择.
- 疼痛自我管理培训对慢性疼痛患者有效,尤其是在其他治疗方法失败后.
结论:
- 有效的慢性疼痛管理需要采用多模式的方法,超越过度依赖阿片类药物.
- 抗抑郁药,抗药,干预程序和自我管理培训是当代慢性疼痛治疗的重要组成部分.
- 本综述为临床医生提供了最新的知识,以有效和安全地管理复杂的慢性疼痛病例.
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