摘要
老年患者慢性肌肉骨骼疼痛患病率高,最常见的疼痛部位是腰背部和膝关节。疼痛受多因素影响,老年患者合并疾病较多,慢性肌肉骨骼疼痛的管理要采取多模式综合干预方法。药物治疗要考虑安全、有效及费用,外用非甾体抗炎药可作为治疗轻、中度老年患者慢性肌肉骨骼疼痛的首选药物;口服非甾体抗炎药要用最低的有效剂量和最短的疗程。心理干预可减轻慢性疼痛并减少药物使用。定期随访动态评估要贯穿整个管理过程。
作者
纪泉
易端
王建业
蹇在金
郑松柏
张存泰
于普林
樊碧发
中华医学会老年医学分会
中国医师协会疼痛科医师分会
Ji Quan;Yi Duan;Wang Jianye;Jian Zaijin;Zheng Songbai;Zhang Cuntai;Yu Pulin;Fan Bifa;Chinese Society of Geriatrics;Pain Physicians Branch of Chinese Medical Doctors Association(Department of Orthopedics,Beijing Hospital,National Center of Gerontology,Beijing 100730,China;Department of Pain Medicine,Peking University Third Hospital,Beijing 100191,China;Beijing Hospital,National Center of Gerontology,Beijing 100730,China;Department of Geriatrics,the Second Xiangya Hospital of Central South University,Changsha 410011,China;Department of Geriatrics,Huadong Hospital Affiliated to Fudan University,Shanghai 200040,China;Department of Geriatrics,Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430030,China;Department of Pain Medicine,China-Japan Friendship Hospital,Beijing 100029,China)
出处
《中华老年医学杂志》
CAS
CSCD
北大核心
2019年第5期500-507,共8页
Chinese Journal of Geriatrics
关键词
疼痛
评估
管理
Pain
Assess menl
Management
