Manchikanti L, Singh V, Bakhit C E, Fellows B
2831 Lone Oak Road, Paducah, KY 42003, USA.
Pain Physician. 2000 Jan;3(1):7-42.
The practice guidelines for interventional techniques in the management of chronic pain are systematically developed statements to assist practitioner and patient decisions about appropriate health care related to chronic pain. These guidelines are professionally derived recommendations for practices in the diagnosis and treatment of chronic or persistent pain. They were developed utilizing a combination of evidence and consensus to improve quality of care, increase patient access,improve patient outcomes, improve appropriateness of care, improve efficiency and effectiveness, and achieve cost containment. Included in the guidelines is a discussion of their purpose,rationale, importance, and methodology, and patient population, pathophysiologic basis, and various interventional techniques utilized in the management of chronic pain including rationale, outcomes, and cost effectiveness. They also describe the role of diagnostic blocks and therapeutic blocks with suggested algorithms for interventional techniques in the management of conservative care of chronic pain.
慢性疼痛管理中介入技术的实践指南是系统制定的声明,旨在协助从业者和患者做出有关慢性疼痛适当医疗保健的决策。这些指南是专业得出的关于慢性或持续性疼痛诊断和治疗实践的建议。它们是通过证据与共识相结合的方式制定的,以提高护理质量、增加患者就医机会、改善患者预后、提高护理的适当性、提高效率和效果,并实现成本控制。指南中包括对其目的、基本原理、重要性和方法的讨论,以及患者群体、病理生理基础,以及慢性疼痛管理中使用的各种介入技术,包括基本原理、结果和成本效益。它们还描述了诊断性阻滞和治疗性阻滞的作用,并给出了慢性疼痛保守治疗管理中介入技术的建议算法。