终末期肾病疼痛研究进展

Research progress on pain in end-stage renal disease

终末期肾病(ESRD)是慢性肾病的最终阶段,近年来发病趋势不断上升。疼痛是ESRD患者的主要并发症,具有发病率高,程度重的临床特点。疼痛会影响患者有效治疗和生活质量,造成活动障碍,并且与抑郁、焦虑等不良情绪密切相关,甚至会导致患者趋向死亡。但是,医护人员和患者对疼痛的重视程度不够,疼痛未得到充分治疗。本文论述了ESRD患者疼痛流行病学、发病原因、常见部位,以及药物、非药物治疗方式,以期能够引起临床重视,达到采取正确的治疗方式,有效控制和解除ESRD患者疼痛的目的。

End-stage renal disease is the final stage of chronic kidney disease,and the incidence trend has been rising in recent years.Pain is the main complication of end-stage renal disease patients,with clinical features of high incidence and severity.Pain affects patients′effective treatment and quality of life,causes activity disorders,and is closely related to adverse emotions such as depression and anxiety,and may even lead patients to death.However,doctors-nurses and patients do not pay enough attention to pain,and the pain is not adequately treated.This article discusses the epidemiology,pathogenesis,common sites,and drug and non-pharmacological treatments of patients with end-stage renal disease,in order to achieve clinical attention,to achieve the correct treatment,and to effectively control and relieve the pain of end-stage patients.