在嘴里还是肠子里? 通过实施口腔和胃肠道健康科学在慢性疼痛管理中的创新
Jo Nijs1,2,3,4, Ishtiaq Ahmed1, Doris Vandeputte5
1Pain in Motion Research Group, Department of Physical Therapy, Human Physiology and Anatomy, Faculty of Physical Education & Physical Therapy, Vrije Universiteit Brussel, Jette, 1090 Brussels, Belgium.
Journal of clinical medicine
|December 30, 2025
概括
慢性疼痛与口腔和肠道健康状况不佳有关. 将口腔和胃肠道健康整合到疼痛管理中,包括查和教育,对于更好的患者结果至关重要.
科学领域:
- 综合医学是一个整体的医学.
- 胃肠病学 胃肠病学
- 口腔健康 口腔健康
背景情况:
- 慢性疼痛群体中,口腔健康不佳 (牙周炎,牙脱落) 和肠道微生物群的改变是常见的.
- 这些问题在各种慢性疼痛疾病中观察到,如纤维肌痛,腰部疼痛和类风湿性关节炎.
- 患有慢性疼痛的正常体重和超重的个体都表现出肠道失调.
研究的目的:
- 概述将口腔和胃肠道健康整合到慢性疼痛管理中的要求.
- 强调需要将这些问题视为需要量身定制治疗的常见并发症.
- 提出慢性疼痛患者口腔和胃肠道健康的查和管理策略.
主要方法:
- 这篇视角论文回顾了当前的科学理解,并提出了未来的研究方向.
- 它综合了口腔/胃肠道健康和慢性疼痛之间的联系的证据.
- 它建议采取综合方法来治疗疼痛.
主要成果:
- 口腔和胃肠道健康问题是慢性疼痛中普遍存在的并发症.
- 管理策略包括教育,考虑肠道微生物组与药物相互作用,饮食干预和生活方式因素.
- 需要进行长度研究和临床试验,以确认因果关系和治疗疗效.
结论:
- 口腔和胃肠道健康必须被认可并纳入慢性疼痛管理.
- 对于患有慢性疼痛的人来说,建议对这些并发症进行例行查.
- 进一步的研究对于理解双向相互作用和开发有效的综合治疗是必不可少的.
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