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老年人的慢性疼痛管理

Chronic Pain Management in the Elderly.

作者信息

Schwan Josianna, Sclafani Joseph, Tawfik Vivianne L

机构信息

Department of Anesthesiology, Perioperative & Pain Medicine, Stanford University School of Medicine, 300 Pasteur Drive, Grant Building, Room S007, Stanford, CA 94305, USA.

Department of Anesthesiology, Perioperative & Pain Medicine, Stanford University School of Medicine, 300 Pasteur Drive, Grant Building, Room S007, Stanford, CA 94305, USA.

出版信息

Anesthesiol Clin. 2019 Sep;37(3):547-560. doi: 10.1016/j.anclin.2019.04.012. Epub 2019 Jun 18.

Abstract

Chronic pain is extremely prevalent in older adults and is associated with significant morbidity, including limited mobility, social isolation, and depressed mood. Pain is defined by a biopsychosocial model highlighting the importance of a multidisciplinary approach to treatment, including multimodal medications, selected interventions, physical therapy and rehabilitation, and psychological treatments. In this narrative review, the authors highlight the use of these approaches in older adults with specific attention paid to considerations unique to aging, including alterations in drug metabolism, avoidance of polypharmacy, and physiologic changes predisposing to painful conditions.

摘要

慢性疼痛在老年人中极为普遍,且与严重的发病率相关,包括行动不便、社会隔离和情绪低落。疼痛是由生物心理社会模型定义的,该模型强调多学科治疗方法的重要性,包括多模式药物治疗、选定的干预措施、物理治疗和康复以及心理治疗。在这篇叙述性综述中,作者强调了这些方法在老年人中的应用,并特别关注了与衰老相关的独特考虑因素,包括药物代谢的改变、避免多重用药以及易导致疼痛状况的生理变化。

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