在部和膝关节关节整形术中Nociplastic疼痛和中央敏感化:关节整形外科医生的实用入门书
Christopher N Carender1, Michael M Kheir, Elizabeth A Dailey
1From the Department of Orthopaedic Surgery, Michigan Medicine-University of Michigan, Ann Arbor, MI (Dr. Carender, Dr. Kheir, and Dr. Dailey), and the Department of Anesthesiology, Department of Internal Medicine, Department of Psychiatry, Chronic Pain and Fatigue Research Center, Michigan Medicine-University of Michigan, Ann Arbor, MI (Dr. Clauw).
概括
鼻膜性疼痛是一种独特的疼痛类型,影响超过三分之一的部和膝盖关节炎患者. 在手术前识别这种疼痛对于更好的患者结果和疼痛管理至关重要.
科学领域:
- 疼痛医学 医学 疼痛医学
- 整形外科 整形外科 整形外科
- 神经科学是一个神经科学.
背景情况:
- 鼻膜性疼痛是一种独特的疼痛类别,与鼻膜感应和神经病痛分开.
- 它的机制涉及改变了外周和中枢神经系统的疼痛通路.
- 超过三分之一的患有部和膝关节关节炎的患者表现出鼻膜性疼痛,往往未被诊断出来.
研究的目的:
- 突出在接受关节整形手术的患者中,nociplastic疼痛的流行率和临床意义.
- 为了强调在手术前确定诺西普拉斯疼痛的重要性,以确定手术结果.
主要方法:
- 审查现有的文学在nociplastic疼痛.
- 对接受部和膝盖关节整形手术的患者群体的分析.
- 诺西普拉斯痛与手术结果和疼痛管理的相关性.
主要成果:
- 在33%以上的关节和膝关节关节炎患者中,诺西普拉斯痛是普遍存在的.
- 患有nociplastic疼痛的患者报告疼痛缓解较差,关节质整形术后功能改善.
- 增加的阿片类药物利用被观察到关节塑造患者与nociplastic疼痛.
结论:
- 术前识别nociplastic疼痛对于关节整形外科医生来说至关重要.
- 识别nociplastic疼痛可以改善患者报告的结果,并指导术后疼痛管理策略.
- 解决nociplastic疼痛对于提高外科手术质量指标和患者满意度至关重要.
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