Till Sara R, As-Sanie Sawsan, Schrepf Andrew
Departments of Obstetrics and Gynecology.
Anesthesiology, University of Michigan, Ann Arbor, Michigan.
Clin Obstet Gynecol. 2019 Mar;62(1):22-36. doi: 10.1097/GRF.0000000000000412.
Patients with pelvic pain suffer from psychological conditions at a disproportionately high rate compared with their peers. We review environmental, genetic, inflammatory, and neurobiological factors that increase vulnerability to developing both of these conditions. We review treatment strategies for chronic pelvic pain in patients who have comorbid psychological conditions, including both nonpharmacologic and pharmacologic options.
与同龄人相比,盆腔疼痛患者患心理疾病的比例高得不成比例。我们回顾了环境、遗传、炎症和神经生物学因素,这些因素会增加患这两种疾病的易感性。我们回顾了患有共病心理疾病的患者慢性盆腔疼痛的治疗策略,包括非药物和药物治疗选择。