慢性胰腺炎的止痛管理
Dominic Amakye1, Hadie Razjouyan2, Matthew D Coates3,4
1Division of Gastroenterology, Department of Medicine, University of Tennessee Health Science Center, Memphis, TN, USA.
Digestive diseases and sciences
|December 24, 2025
概括
管理慢性胰腺炎的疼痛对于生活质量至关重要. 本综述概述了基于证据的策略,包括改变生活方式,药物和干预措施,以有效控制慢性胰腺炎患者的疼痛.
科学领域:
- 胃肠病学 胃肠病学
- 疼痛管理 疼痛管理
- 临床医学 临床医学
背景情况:
- 腹痛是慢性胰腺炎的主要症状,严重影响患者的生活质量,增加医疗保健成本.
- 慢性胰腺炎的疼痛管理不足导致身体,心理和社会障碍,预期寿命缩短和医疗保健利用率提高.
- 慢性胰腺炎疼痛的复杂和多因素性质对有效的疼痛控制提出了重大挑战.
研究的目的:
- 为了提供一个全面的概述当前的策略来管理痛苦的慢性胰腺炎.
- 通过有效的疼痛管理,强调基于证据的方法来优化患者的治疗结果.
- 审查疼痛性慢性胰腺炎的非药物,药物,内镜和手术干预措施.
主要方法:
- 对管理疼痛性慢性胰腺炎的基于证据的方法的文献综述.
- 综合关于非药物治疗的信息,包括改变生活方式 (戒烟和戒酒).
- 对耐火性疼痛的药理学,内镜和手术治疗选择的评估.
主要成果:
- 使用经过验证的工具进行准确的疼痛评估对于有效管理至关重要.
- 通常需要采用多学科,多模式的方法,整合生活方式的改变和药理疗法.
- 对耐火性疼痛患者来说,内镜和外科手术是可行的选择.
结论:
- 有效的疼痛管理对于改善慢性胰腺炎患者的生活质量至关重要.
- 建议采用逐步,多模式的治疗策略,根据个体患者的需求量身定制.
- 本综述强调了基于证据的关键干预措施,以指导临床实践管理痛苦的慢性胰腺炎.
相关概念视频
01:29Chronic Pancreatitis II: Collaborative Care
282
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:
282
01:30Acute Pancreatitis II: Clinical Manifestations and Management
693
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...
693
01:24Chronic Pancreatitis I: Introduction
643
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...
643
01:26Peptic Ulcer Disease IV: Management
394
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...
394
01:25Analgesia and Pain Management
1.4K
Pain is critical to various clinical pathologies, provoking an urgent need for effective management. Pain, whether acute or chronic, is a complex neurochemical process. Its alleviation depends on the type, with nonopioid analgesics effective for mild to moderate pain, such as musculoskeletal or inflammatory pain, while neuropathic pain responds best to anticonvulsants, tricyclic antidepressants, or serotonin/norepinephrine reuptake inhibitors. For severe acute or chronic pain, opioids may be...
1.4K
01:27Acute Pancreatitis I: Introduction
1.1K
Pancreatitis is inflammation of the pancreas, an organ located behind the stomach. It can be either acute or chronic.
Acute pancreatitis is characterized by rapid inflammation of the pancreas, often caused by factors like gallstone blockage or excessive alcohol consumption. Chronic pancreatitis, on the other hand, is a slow, progressive inflammation that may result from long-term alcohol abuse, obstructions in the pancreatic duct, or genetic factors.
The causes of acute pancreatitis include:
Acute pancreatitis is characterized by rapid inflammation of the pancreas, often caused by factors like gallstone blockage or excessive alcohol consumption. Chronic pancreatitis, on the other hand, is a slow, progressive inflammation that may result from long-term alcohol abuse, obstructions in the pancreatic duct, or genetic factors.
The causes of acute pancreatitis include:
1.1K