医学
内脏痛
慢性疼痛
心理干预
疼痛管理
重症监护医学
中枢敏化
伤害
病理生理学
物理疗法
精神科
内科学
受体
作者
Anne Estrup Olesen,Adam D. Farmer,Søren Schou Olesen,Qasim Aziz,Asbjørn Mohr Drewes
出处
期刊:Pain management
[Future Medicine]
日期:2016-10-01
卷期号:6 (5): 469-486
被引量:23
标识
DOI:10.2217/pmt-2015-0011
摘要
Despite marked differences in underlying pathophysiology, the current management of visceral pain largely follows the guidelines derived from the somatic pain literature. The effective management of patients with chronic visceral pain should be multifaceted, including both pharmacological and psychological interventions, thereby providing a mechanism-orientated approach to treatment. Patients can frequently become disenfranchised, and subsequently disengaged, with healthcare providers leading to repeated consultations. Thus, a key aspect of management is to break this cycle by validating patients' symptoms, adopting an empathic approach and taking time to educate patients. To optimize treatment and outcomes in chronic visceral pain we need to move away from approaches exclusively based on dealing with peripheral nociceptive input toward more holistic strategies, taking into account alterations in central pain processing.
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