[老年人神经性疼痛]。

Gisèle Pickering, Françoise Capriz-Ribière
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引用次数: 12

摘要

神经性疼痛的特点是比非神经性慢性疼痛强度更大,持续时间更长。据估计,65岁及以上人口中约有9%患此病。糖尿病、带状疱疹、癌症、外科手术、神经根病或中风在老年人中很常见,并可能导致神经性疼痛。对老年人的治疗是一个真正的挑战。除了疼痛评估和治疗策略选择的困难之外,与衰老和多种药物相关的并发疾病需要复杂的药物治疗。认知、情感、身体活动对自主性保护的主导作用,以及这些领域在老年人、老年人和最脆弱人群中的动态相互作用,意味着任何药物治疗都必须与非药物方法相结合。然而,很少有研究专门针对老年人神经性疼痛。流行病学研究和对照临床试验对于优化疼痛治疗是必要的,并可能导致多模式治疗策略,到目前为止,这些策略只是基于证据或凭直觉开发的。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Neuropathic pain in the elderly].

Neuropathic pain is characterized by a heavier intensity and a longer duration than in non-neuropathic chronic pain. Its frequency is estimated around 9% of the population aged 65 years and over. Diabetes, shingles, cancer, surgery, radiculopathies or stroke are frequent in elderly and may lead to neuropathic pain. It's treatment is a real challenge in elderly. Beside the difficulties of pain evaluation and choice of a therapeutic strategy, intercurrent diseases associated with aging and polymedication require a complex drug treatment. The leading role of cognition, emotion, physical activity for autonomy preservation, and the dynamic interaction between these domains in the old, oldest old and most fragile persons, imply that any pharmacological treatment must be integrated into a non-pharmacological approach. However, very few studies has been specifically devoted to neuropathic pain in elderly. Epidemiological studies and controlled clinical trials are necessary to optimize pain treatment and could result in polymodal therapeutic strategies, which until now only are evidence-based or intuitively developed.

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