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为子宫内膜异位症患者标准化医疗疼痛管理:荷兰修改的eDelphi程序

A P van Haaps¹, A M F Schreurs¹, R A de Leeuw¹

¹Department of Gynaecology, Academic Endometriosis Centre, Amsterdam University Medical Centers, Amsterdam, the Netherlands; Amsterdam Reproduction and Development, Amsterdam University Medical Centers, Amsterdam, the Netherlands.

European journal of obstetrics, gynecology, and reproductive biology

|March 5, 2026

概括

这项研究概述了荷兰专家批准的子宫内膜异位症疼痛管理指南,建议使用特定药物和短期使用其他药物. 需要进一步的研究来验证一些治疗选择.

科学领域:

医疗管理医疗管理
疼痛研究疼痛研究
妇科妇科妇科妇科

背景情况:

由于慢性疼痛,子宫内膜异位症显著影响女性的生活质量.
目前对子宫内膜异位症的疼痛管理策略需要标准化的指导方针.

研究的目的:

制定一个逐步指南,用于治疗子宫内膜异位症的医疗疼痛.
通过修改的Delphi过程,实现对子宫内膜异位症疼痛管理的专家共识.

主要方法:

多学科专家会议制定了疼痛管理流程图.
经过两轮修改后的Delphi程序,涉及妇产科医生 (OBGYN) 和麻醉专家,改进了指南.
共识被定义为至少70%的受访者同意的共识.

主要成果:

为子宫内膜异位症疼痛管理制定了一个基于共识的指导方针.
该指南采用了世卫组织的逐步方法,为神经病痛增加了TCA.
建议包括短期使用甲米醇和阿片类药物,接受膀内膜异位症的肌酸受体对抗剂,并建议使用COX-2抑制剂.

结论:

荷兰专家之间达成了一项关于子宫内膜异位症疼痛管理的共识指南.
该指南强调,由于对某些药物类别的证据有限,需要进一步研究.

关键词:

慢性疼痛是一种慢性疼痛.子宫内膜异位症是什么?子宫内膜异位症是什么?医学疼痛管理医学疼痛管理在 eDELPHI 程序中.

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