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[瑞士慢性疼痛的治疗:科学证据]

[Treatment of chronic pain in Switzerland: scientific evidence].

作者信息

Benz T, Angst F, Aeschlimann A

机构信息

Forschungsabteilung, RehaClinic, Bad Zurzach.

出版信息

Praxis (Bern 1994). 2011 May 11;100(10):591-8. doi: 10.1024/1661-8157/a000530.

DOI:10.1024/1661-8157/a000530
PMID:21563096
Abstract

Chronic pain is often seen in the lower back region (lumbar spine). It usually influences different aspects of health and wellbeing, is often treated inadequately and causes important economic costs. Various biopsychosocial factors influence chronic pain and the outcome of medical treatment. This has lead to multidisciplinary treatment strategies. The scientific evaluation of interdisciplinary inpatient pain management programs in Switzerland shows moderate to large changes in various health dimensions in subjects with chronic non-specific back pain, fibromyalgia, chronic widespread pain, and after whiplash injury. These short- to mid-term results are confirmed by international scientific evidence. The effects of an interdisciplinary pain management program are higher than those of the standard rehabilitation. Complementary, subgroup-specific pain treatment could optimize these results.

摘要

慢性疼痛常见于下背部(腰椎)区域。它通常会影响健康和幸福的各个方面,治疗往往不充分,并造成重大经济成本。多种生物心理社会因素会影响慢性疼痛及医疗治疗的结果。这导致了多学科治疗策略的产生。对瑞士跨学科住院疼痛管理项目的科学评估表明,患有慢性非特异性背痛、纤维肌痛、慢性广泛性疼痛以及挥鞭样损伤后的患者,在各种健康维度上有中度到较大的变化。这些短期到中期的结果得到了国际科学证据的证实。跨学科疼痛管理项目的效果高于标准康复治疗。补充性的、针对特定亚组的疼痛治疗可以优化这些结果。

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