Miller T W, Kraus R F
University of Kentucky, Lexington.
Hosp Community Psychiatry. 1990 Apr;41(4):433-40. doi: 10.1176/ps.41.4.433.
Pain is the most common symptom for which patients seek medical advice and treatment, and chronic pain takes a heavy toll in patient suffering and disability, reduced quality of life, and economic costs. Despite the interest in pain management in the last half century, the pathways of pain transmission and the optimal methods of pain management are not fully understood. The authors review selected areas of knowledge about chronic pain and its management, including historical views, the assessment of pain, economic factors and costs, and treatment approaches.
疼痛是患者寻求医疗建议和治疗的最常见症状,慢性疼痛给患者带来巨大痛苦和残疾,降低生活质量,并造成经济成本。尽管在过去半个世纪里人们对疼痛管理很感兴趣,但疼痛传导途径和最佳疼痛管理方法仍未被完全理解。作者回顾了关于慢性疼痛及其管理的一些选定知识领域,包括历史观点、疼痛评估、经济因素和成本以及治疗方法。