Department of Medicine, Cornell Scott-Hill Health Center and Yale University, New Haven, Connecticut.
Divisions of Infectious Diseases and Gerontology, Geriatrics and Palliative Care, University of Alabama at Birmingham.
Clin Infect Dis. 2017 Oct 30;65(10):e1-e37. doi: 10.1093/cid/cix636.
Pain has always been an important part of human immunodeficiency virus (HIV) disease and its experience for patients. In this guideline, we review the types of chronic pain commonly seen among persons living with HIV (PLWH) and review the limited evidence base for treatment of chronic noncancer pain in this population. We also review the management of chronic pain in special populations of PLWH, including persons with substance use and mental health disorders. Finally, a general review of possible pharmacokinetic interactions is included to assist the HIV clinician in the treatment of chronic pain in this population.It is important to realize that guidelines cannot always account for individual variation among patients. They are not intended to supplant physician judgment with respect to particular patients or special clinical situations. The Infectious Diseases Society of American considers adherence to these guidelines to be voluntary, with the ultimate determination regarding their application to be made by the physician in the light of each patient's individual circumstances.
疼痛一直是人类免疫缺陷病毒（HIV）疾病及其患者体验的重要组成部分。在本指南中，我们回顾了 HIV 感染者（PLWH）中常见的慢性疼痛类型，并回顾了针对该人群慢性非癌性疼痛治疗的有限证据基础。我们还回顾了 PLWH 特殊人群中慢性疼痛的管理，包括有物质使用和精神健康障碍的人。最后，还包括了对可能的药代动力学相互作用的一般回顾，以帮助 HIV 临床医生治疗该人群的慢性疼痛。重要的是要认识到，指南不能总是考虑到患者之间的个体差异。它们并不是要替代医生在特定患者或特殊临床情况下的判断。美国传染病学会认为，遵守这些指南是自愿的，最终决定是否将其应用于每个患者的具体情况，由医生根据患者的个人情况来决定。
