Jensen Troels Staehelin, Kehlet Henrik
Arhus Universitetshospital, Neurologisk Afdeling & Dansk Smerteforskningscenter, og H:S Rigshospitalet, Juliane Marie Center, Forskningsenhed for Kirurgisk Patofysiologi.
Ugeskr Laeger. 2006 May 15;168(20):1989-91.
Chronic pain constitutes a major health care and social problem. Around 20% of adults in a number of Western countries suffer from severe to moderate chronic pain that seriously affects their quality of life. That chronic pain may be an adverse outcome of surgery has been overlooked so far, but new studies suggest that chronic pain even after minor surgery is far more frequent than previously assumed. This article presents epidemiological, clinical and pathophysiological aspects of chronic postoperative pain and offers suggestions for pain management and prophylaxis.
慢性疼痛是一个重大的医疗保健和社会问题。在一些西方国家,约20%的成年人患有中重度慢性疼痛,这严重影响了他们的生活质量。慢性疼痛可能是手术的不良后果,这一点至今一直被忽视,但新的研究表明,即使是小手术后的慢性疼痛也比之前认为的更为常见。本文介绍了慢性术后疼痛的流行病学、临床和病理生理学方面,并对疼痛管理和预防提出了建议。