Khouzam R H
Department of Psychiatry, VA Medical Center, Manchester, NH 03104-4098, USA.
South Med J. 2000 Oct;93(10):946-52; quiz 953.
Chronic pain is commonly encountered in primary care, but it can be difficult to manage.
The purpose of this article was to review the definition of chronic pain, general guidelines of management, pharmacologic and nonpharmacologic treatment, the role of pain clinics, and rehabilitation goals.
Effective management of chronic pain is usually achieved by an interdisciplinary team, with involvement of both patients and their families, and integrates pharmacologic and nonpharmacologic treatment with needed surgical interventions, psychotherapy, and rehabilitation.
慢性疼痛在初级保健中很常见,但可能难以处理。
本文的目的是综述慢性疼痛的定义、一般管理指南、药物和非药物治疗、疼痛诊所的作用以及康复目标。
慢性疼痛的有效管理通常由一个跨学科团队来实现,患者及其家属也需参与其中,并且将药物和非药物治疗与必要的手术干预、心理治疗及康复相结合。