慢性腹痛:实用的方法
Peter Paine1,2
1Department of Gastroenterology, Salford Royal Hospital, Manchester, UK.
British journal of hospital medicine (London, England : 2005)
|October 24, 2025
概括
管理慢性腹痛需要仔细的诊断,框架和治疗. 这篇评论提供了一个命名疼痛的算法,解决大脑-肠轴,并推治疗来缓解疼痛,同时避免有害的干预.
科学领域:
- 胃肠病学 胃肠病学
- 疼痛管理 疼痛管理
- 神经科学是一个神经科学.
背景情况:
- 慢性腹痛很常见,但诊断和管理具有挑战性.
- 临床医生和患者在标记,框架和有效治疗这种疾病方面遇到困难.
- 对于改善治疗慢性腹痛的培训和信心,有很大的未满足的需求.
研究的目的:
- 提出一个诊断算法,准确命名慢性腹痛.
- 强调大脑-肠轴和生物心理社会框架在疼痛管理中的作用.
- 为临床医生提供指导,以避免阳性损害,并推有效的康复策略.
主要方法:
- 对慢性腹痛的诊断方法的审查.
- 讨论大脑-肠轴和生物心理社会模型.
- 对阳性风险 (手术,阿片类药物) 和有益干预措施 (神经调节剂,心理治疗) 的分析.
主要成果:
- 一个结构化的算法可以帮助适当命名慢性腹痛.
- 了解大脑-肠轴和使用生物心理社会框架至关重要.
- 避免有害的干预措施,如不必要的手术和阿片类药物,对于疼痛康复至关重要.
结论:
- 慢性腹痛的有效管理需要准确的诊断,适当的框架和明智的治疗选择.
- 肠脑神经调节剂和心理治疗在缓解慢性腹痛方面表现有前途.
- 需要进一步的研究来解决知识差距并改善患者的治疗结果.
相关概念视频
Chronic Pancreatitis II: Collaborative Care
311
The management of chronic pancreatitis is multifaceted, involving a comprehensive approach that includes thorough assessment, diagnostic testing, and a variety of management strategies.
Assessment:
Assessment:
311
Chronic Pancreatitis I: Introduction
664
The pancreas, an elongated and flat gland situated behind the stomach, serves a vital function in digesting food and managing blood sugar levels.
Pancreatitis is the inflammation of the pancreas, which occurs when the immune system becomes active and causes swelling, pain, and disruptions in organ function. Pancreatitis can manifest as either an acute or chronic condition.
Acute pancreatitis arises suddenly and lasts for a brief duration, while chronic pancreatitis is a long-term affliction...
Pancreatitis is the inflammation of the pancreas, which occurs when the immune system becomes active and causes swelling, pain, and disruptions in organ function. Pancreatitis can manifest as either an acute or chronic condition.
Acute pancreatitis arises suddenly and lasts for a brief duration, while chronic pancreatitis is a long-term affliction...
664
Acute Pancreatitis II: Clinical Manifestations and Management
741
Acute pancreatitis presents a complex medical emergency characterized by rapid onset inflammation of the pancreas, demanding timely diagnosis and management to prevent complications. The condition primarily manifests through severe upper abdominal pain that often radiates to the back. This pain intensifies following the consumption of fatty foods. Accompanying symptoms such as nausea, vomiting, abdominal distention, fever, dyspnea, cyanosis, and jaundice can vary in intensity but significantly...
741
Peptic Ulcer Disease III: Clinical Manifestations and Diagnostic Studies
534
Peptic ulcer disease (PUD) presents with diverse symptoms depending on the location and severity of the ulcer. Clinical manifestations of peptic ulcer include dull pain and a burning sensation in the mid-epigastric region.
Few clinical manifestations differentiate gastric ulcers from duodenal ulcers. Distinctions in the location, timing, and pain relief are crucial for healthcare providers in differentiating between gastric and duodenal ulcers during clinical assessments.
Few clinical manifestations differentiate gastric ulcers from duodenal ulcers. Distinctions in the location, timing, and pain relief are crucial for healthcare providers in differentiating between gastric and duodenal ulcers during clinical assessments.
534
Peptic Ulcer Disease IV: Management
428
Medical treatment strategies for peptic ulcers encompass various methods. The primary goal of treatment is to diminish gastric acidity and strengthen mucosal defense mechanisms.
The therapeutic approach involves ensuring adequate rest, implementing drug therapy, promoting smoking cessation, making dietary modifications, and emphasizing long-term follow-up care.
Pharmacological management
The prevailing therapy for peptic ulcers involves a combination of managing the patient's current...
The therapeutic approach involves ensuring adequate rest, implementing drug therapy, promoting smoking cessation, making dietary modifications, and emphasizing long-term follow-up care.
Pharmacological management
The prevailing therapy for peptic ulcers involves a combination of managing the patient's current...
428
Irritable Bowel Syndrome III: Medical and Nursing Management
640
Managing Irritable Bowel Syndrome (IBS) involves a multifaceted approach, including lifestyle modifications, dietary changes, and medication.
640


