Department of Gynaecology, Leiden University Medical Center, 2300 RC Leiden, The Netherlands.
J Psychosom Obstet Gynaecol. 2009 Dec;30(4):262-8. doi: 10.3109/01674820903378742.
From population-based surveys, chronic pelvic pain (CPP) in women is a common condition with a spectrum of associated disability and distress. Those seen by gynaecologists in a referral setting often have substantial impairment of function and mood disturbance. Because in most cases, the aetiology of CPP cannot be explained and the range of effective interventions remains limited, treatment of CPP might easily result in a sense of frustration not only for the patient but also for the gynaecologist. To avoid this situation in clinical practice, a structured assessment of women suffering from CPP using a cognitive behavioural model, is suggested. This type of assessment provides information about the impact of CPP on a particular patient's daily life. It also facilitates referral for pain management. Future studies are needed to show further evidence of benefit of this approach for women with CPP.
从基于人群的调查来看，慢性盆腔疼痛（CPP）是一种常见的病症，伴有一系列相关的残疾和痛苦。在转诊环境中由妇科医生诊治的患者通常存在功能严重受损和情绪障碍。由于在大多数情况下，CPP 的病因无法解释，有效的干预措施范围仍然有限，因此 CPP 的治疗很容易不仅让患者，也让妇科医生感到沮丧。为了避免在临床实践中出现这种情况，建议使用认知行为模型对患有 CPP 的女性进行结构化评估。这种评估类型提供了 CPP 对特定患者日常生活影响的信息。它还为疼痛管理提供了转介服务。需要进一步的研究来证明这种方法对 CPP 女性的益处。
