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[指南:“围手术期急性和创伤后疼痛的治疗”。从S2级更新至S3级:初步报告]

[Guideline: "Treatment of acute perioperative and posttraumatic pain". Updating from the S2- to the S3-level: a preliminary report].

作者信息

Laubenthal Heinz, Becker Monika, Neugebauer Edmund

机构信息

Klinik fur Anästhesiologie, Katholischen Klinikums Bochum, St Josef-Hospital, Ruhr-Universität Bochum.

出版信息

Anasthesiol Intensivmed Notfallmed Schmerzther. 2006 Jul-Aug;41(7-8):470-2. doi: 10.1055/s-2006-949507.

DOI:10.1055/s-2006-949507
PMID:16874569
Abstract

The German guidelines for the treatment of acute perioperative and posttraumatic pain from 1999 have been revised during the last three years and will be published at the end of 2006 as a guideline on S3-level. 20 medical societies evaluate with the instruments of the centre of evidence based medicine of Oxford (CEBM) the available randomised controlled trials, systematic reviews and existing guidelines and consent in final Delphi rounds the detailed recommendations (grades A - C). Comprehensive information of the patients (pain level, therapeutic possibilities), measurement and documentation of pain, interdisciplinary management of therapy and complete consideration of all operative, pain therapeutic, medicinal, psychologic, physiotherapeutical and physical procedures are central aims of the actual guideline.

摘要

1999年德国关于围手术期急性疼痛和创伤后疼痛治疗的指南在过去三年中进行了修订,并将于2006年底作为S3级指南发布。20个医学协会使用牛津循证医学中心(CEBM)的工具评估现有的随机对照试验、系统评价和现有指南,并在最终的德尔菲轮次中就详细建议(A - C级)达成一致。患者的全面信息(疼痛程度、治疗可能性)、疼痛的测量和记录、治疗的跨学科管理以及对所有手术、疼痛治疗、药物、心理、物理治疗和物理程序的全面考虑是现行指南的核心目标。

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