[神经发育障碍 (NDD) 的早期诊断]
Håkan Odeberg1, Pernilla Ackermark2, Ulf Andersson3
1leg läkare, psykiater; psykiatrisk konsult, smärtmottagningen, rehabiliteringsmedicinska kliniken, -Nyköpings lasarett.
Lakartidningen
|August 19, 2025
概括
在慢性疼痛患者中诊断神经发育障碍 (NDD),如自闭症和多动症,改善了他们的健康和福祉. 将NDD评估整合到疼痛康复中,解决了这些人面临的关键挑战.
科学领域:
- 神经科学是一个神经科学.
- 精神病学是一个精神病学.
- 疼痛管理 疼痛管理
背景情况:
- 神经发育障碍 (NDD) 和慢性疼痛之间存在很高的并发症.
- 在疼痛患者中未被诊断的NDD可能会推迟关键的康复.
- 将NDD诊断评估整合到疼痛康复中可能会改善患者的治疗结果.
研究的目的:
- 研究将NDD诊断评估整合到慢性疼痛康复环境中的好处.
- 评估诊断NDD对患者福祉和整体健康的影响.
主要方法:
- 一个区域疼痛康复部门的2022-2023年项目涉及对20名疑似NDD的患者进行诊断评估.
- 评估由外部心理学家和单位的精神病医生进行.
- 诊断包括自闭症谱系障碍 (ASD) 和注意力缺陷多动症障碍 (ADHD).
主要成果:
- 9名患者被诊断为ASD,10名患者被诊断为ADD/ADHD.
- 大多数被诊断的患者在随访时报告说,他们的整体健康和幸福感明显改善.
- 临床情况主要是NDD的次要后果和补偿性能量支出.
结论:
- 在疼痛康复中综合NDD评估可以改善患者的福祉.
- 解决NDD的次要后果对于有效的疼痛管理至关重要.
- 需要进一步的研究来优化对伴随性NDD和慢性疼痛患者的护理.
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