Schmidt Reinhold, Bach Michael, Dal-Bianco Peter, Holzer Peter, Pluta-Fuerst Aga, Assem-Hilger Eva, Lechner Anita, Cavalieri Margherita, Haider Bernhard, Schmidt Helena, Pinter Georg, Pipam Wolfgang, Stögmann Elisabeth, Lampl Christian, Likar Rudolf
Universitätsklinik für Neurologie, Medizinische Universität Graz.
Neuropsychiatr. 2010;24(1):1-13.
Dementia has been associated with disturbed pain processing and an impaired ability to provide self-reported ratings on pain. Patients with cognitive impairment have been shown to receive pain treatment less frequently than cognitively unimpaired individuals. Comorbidity is common in patients with dementia and a major factor contributing to pain. This demonstrates that a structured evaluation and categorisation of pain is mandatory for the treatment of older patients and that care should be taken to note indirect signs of pain. The appropriate scales are available and we propagate their application. Multimodal pain therapy is superior to one-dimensional approaches. A discussion of the effects and interactions of the analgesics presently available for geriatric care forms an integral part of this review.
痴呆症与疼痛处理紊乱以及自我报告疼痛评分能力受损有关。有研究表明，认知障碍患者接受疼痛治疗的频率低于认知未受损的个体。合并症在痴呆症患者中很常见，是导致疼痛的一个主要因素。这表明，对老年患者进行疼痛的结构化评估和分类是治疗的必要条件，并且应注意疼痛的间接体征。有合适的量表可供使用，我们提倡应用这些量表。多模式疼痛治疗优于一维治疗方法。对目前用于老年护理的镇痛药的效果和相互作用进行讨论是本综述不可或缺的一部分。
