Bergman J J, Werblun M N
J Fam Pract. 1978 Oct;7(4):685-93.
The challenge of effective management of chronic pain frequently confronts the family physician. Successful management relies on the physician's skill in integrating fundamental concepts in the pathophysiology, psychodynamics, and diagnostic and therapeutic modalities associated with chronic pain syndromes. The use of time-contingent rather than pain-contingent therapy in the prevention of the chronic pain state is advocated.
有效管理慢性疼痛的挑战常常摆在家庭医生面前。成功的管理依赖于医生整合慢性疼痛综合征相关的病理生理学、心理动力学以及诊断和治疗模式等基本概念的技能。提倡在预防慢性疼痛状态时采用按时治疗而非按需治疗。
