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[泌尿外科疼痛治疗——当前S3指南建议概述]

[Pain therapy in urology-overview of current S3 guideline recommendations].

作者信息

Dräger Desiree Louise, Protzel Chris

机构信息

Klinik und Poliklinik für Urologie, Universitätsmedizin Rostock, Rostock, Deutschland.

Arbeitskreis Schmerztherapie/Supportivtherapie/Palliativmedizin/Lebensqualität der DGU, Berlin, Deutschland.

出版信息

Urologie. 2024 May;63(5):462-468. doi: 10.1007/s00120-024-02334-2. Epub 2024 May 2.

DOI:10.1007/s00120-024-02334-2
PMID:38698261
Abstract

Dealing efficiently with patients suffering from pain is a central medical task. Pain, as an important function in developmental physiology, warns against damage to the body caused by external noxious agents as well as internal malfunctions and requires special attention in modern medicine. Peri- and postoperative pain is known to have a negative influence on postoperative convalescence. Treatment of tumor-related pain represents another relevant challenge in uro-oncology and palliative medicine. The updated guideline on perioperative pain therapy and palliative medicine for patients with incurable diseases or cancer is dedicated to these two topics.

摘要

有效地治疗疼痛患者是一项核心医疗任务。疼痛作为发育生理学中的一项重要功能，可警示身体免受外部有害物质以及内部机能故障造成的损害，在现代医学中需要特别关注。已知围手术期和术后疼痛会对术后康复产生负面影响。肿瘤相关疼痛的治疗是泌尿肿瘤学和姑息医学中的另一项相关挑战。这份关于不治之症或癌症患者围手术期疼痛治疗和姑息医学的更新指南致力于这两个主题。

相似文献

1
[Pain therapy in urology-overview of current S3 guideline recommendations].[泌尿外科疼痛治疗——当前S3指南建议概述]
Urologie. 2024 May;63(5):462-468. doi: 10.1007/s00120-024-02334-2. Epub 2024 May 2.
2
[Pain therapy in cancer and palliative medicine].[癌症与姑息医学中的疼痛治疗]
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Int J Evid Based Healthc. 2019 Jun;17(2):92-105. doi: 10.1097/XEB.0000000000000160.
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[Acute pain in adults, including perioperative pain management].[成人急性疼痛，包括围手术期疼痛管理]
Urologe A. 2009 Oct;48(10):1152, 1154-7. doi: 10.1007/s00120-009-2035-z.
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Opioid use disorder and chronic pain: challenges for palliative care practice.阿片类药物使用障碍与慢性疼痛：姑息治疗实践面临的挑战
Int J Palliat Nurs. 2019 Sep 2;25(9):453-457. doi: 10.12968/ijpn.2019.25.9.453.

本文引用的文献

1
The effectiveness of physiotherapy interventions on pain and quality of life in adults with persistent post-surgical pain compared to usual care: A systematic review.物理治疗干预对持续性手术后疼痛成人疼痛和生活质量的效果与常规护理相比：系统评价。
PLoS One. 2019 Dec 13;14(12):e0226227. doi: 10.1371/journal.pone.0226227. eCollection 2019.
2
Do Ice Packs Reduce Postoperative Midline Incision Pain, NSAID or Narcotic Use?冰袋是否能减轻术后中线切口疼痛，减少 NSAID 或阿片类药物的使用？
World J Surg. 2019 Nov;43(11):2651-2657. doi: 10.1007/s00268-019-05129-1.
3
Preemptive and Preventive Pain Psychoeducation and Its Potential Application as a Multimodal Perioperative Pain Control Option: A Systematic Review.
预防性疼痛心理教育及其作为一种多模式围手术期疼痛控制选择的潜在应用：系统评价。
Anesth Analg. 2020 Mar;130(3):559-573. doi: 10.1213/ANE.0000000000004319.
4
The Effect of Local Anesthetic Infiltration Around Nephrostomy Tract on Postoperative Pain Control after Percutaneous Nephrolithotomy: A Systematic Review and Meta-Analysis.经皮肾镜取石术后肾造瘘管周围局部麻醉浸润对术后疼痛控制的影响：一项系统评价和Meta分析
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Are strong opioids equally effective and safe in the treatment of chronic cancer pain? A multicenter randomized phase IV 'real life' trial on the variability of response to opioids.强阿片类药物在治疗慢性癌痛方面同样有效且安全吗？一项多中心、随机、四期“真实世界”试验，旨在研究阿片类药物反应的可变性。
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J Pain. 2016 Feb;17(2):131-57. doi: 10.1016/j.jpain.2015.12.008.
7
Use of opioid analgesics in the treatment of cancer pain: evidence-based recommendations from the EAPC.癌症疼痛的阿片类镇痛药治疗：EAPC 的循证推荐。
Lancet Oncol. 2012 Feb;13(2):e58-68. doi: 10.1016/S1470-2045(12)70040-2.
8
[Impact of preoperative patient education on postoperative pain in consideration of the individual coping style].[考虑个体应对方式时术前患者教育对术后疼痛的影响]
Schmerz. 2010 Dec;24(6):575-86. doi: 10.1007/s00482-010-0994-z.
9
Systematic review and meta-analysis of intraperitoneal local anaesthetic for pain reduction after laparoscopic gastric procedures.腹腔镜胃手术后腹腔内局部麻醉减轻疼痛的系统评价和荟萃分析。
Br J Surg. 2011 Jan;98(1):29-36. doi: 10.1002/bjs.7293.
10
Efficacy of preoperative dexamethasone in patients with laparoscopic cholecystectomy: a prospective randomized double-blind study.术前地塞米松对腹腔镜胆囊切除术患者的疗效：一项前瞻性随机双盲研究。
J Hepatobiliary Pancreat Surg. 2009;16(3):367-71. doi: 10.1007/s00534-009-0079-5. Epub 2009 Mar 31.