2021 国际共识指南:慢性胰腺炎相关疼痛评估

2021-07-24 国外消化科相关专家小组(统称) Pancreatology . 2021 Jul 24

疼痛是慢性胰腺炎 (CP) 中最常见的症状,对生活质量有重大影响。评估 CP 疼痛的有效问卷很少,而且缺乏共识会对临床管理、研究和荟萃分析产生负面影响。本指南旨在审查通用疼痛问卷在 CP 中的可用性,

中文标题:

2021 国际共识指南:慢性胰腺炎相关疼痛评估

英文标题:

Assessment of pain associated with chronic pancreatitis: An international consensus guideline

发布日期:

2021-07-24

简要介绍:

疼痛是慢性胰腺炎 (CP) 中最常见的症状,对生活质量有重大影响。评估 CP 疼痛的有效问卷很少,而且缺乏共识会对临床管理、研究和荟萃分析产生负面影响。本指南旨在审查通用疼痛问卷在 CP 中的可用性,概述如何通过混杂因素和疼痛类型修改疼痛评估,评估额外措施的价值,如生活质量、心理健康和定量感官测试,以及最后回顾一下专门用于 CP 的疼痛评估问卷。根据 PICO(人口;干预;比较器;结果)模板,对 27 个问题进行了系统评价。陈述的证据质量由推荐等级、评估、发展和评价 (GRADE) 标准判断。稿件在多阶段的德尔菲过程中被发送给来自各个学科和大洲的 36 位专家进行审阅,最后由患者代表进行审阅。主要发现是通用疼痛仪器在大多数情况下都是有效的,但疼痛的方面是 CP(包括儿童)特有的,并且仪器必须考虑广泛的表型变异性和中枢神经系统敏化的发展。还应考虑治疗的副作用和安慰剂效应。一些多维问卷已针对 CP 进行了验证,建议将其与生活质量和精神病合并症的评估一起使用。该指南将导致更均匀和全面的疼痛评估,以潜在地改善疼痛性 CP 的管理。

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    2022-10-23 ms7000001929266781

    学习了

    0

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    2022-01-23 年轻狠别致

    学习了

    0

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    2021-12-21 ms3000001944488198

    有用

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    2021-10-12 1debd7bdm05(暂无匿称)

    学习了

    0

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    2021-09-06 柠檬

    0

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