妊娠期疼痛管理:多模式疗法

Q2 Medicine
Pain Research and Treatment Pub Date : 2015-01-01 Epub Date: 2015-09-13 DOI:10.1155/2015/987483
Shalini Shah, Esther T Banh, Katharine Koury, Gaurav Bhatia, Roneeta Nandi, Padma Gulur
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引用次数: 0

摘要

非产科原因引起的孕期疼痛非常常见,如果治疗不当,可能会导致孕妇丧失工作能力。最近的文献报道显示,相当一部分孕妇在怀孕期间接受了阿片类药物治疗。针对孕期常见的疼痛症状以及可用的药物和非药物治疗方案,我们使用 MEDLINE、PubMed、Embase 和 Cochrane 数据库对每种疼痛症状进行了检索。根据研究设计对证据质量进行了评估。本文是对各项综述结果的叙述性总结。这些研究在设计、研究和方法以及分析结果方面存在明显差异。药物治疗方法有合理的证据,但也与不良事件有关。非药物疗法的证据有限,因此其疗效尚不明确,尽管这些疗法似乎主要是安全的。采用非药物疗法和药物疗法相结合的多模式方法来治疗这些疼痛病症,可能会在限制风险的同时获得最大益处。我们需要采用合理的方法和结果数据分析进行研究试验。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Pain Management in Pregnancy: Multimodal Approaches.

Nonobstetrical causes of pain during pregnancy are very common and can be incapacitating if not treated appropriately. Recent reports in the literature show that a significant percentage of pregnant women are treated with opioids during pregnancy. To address common pain conditions that present during pregnancy and the available pharmacological and nonpharmacological treatment options, for each of the pain conditions identified, a search using MEDLINE, PubMed, Embase, and Cochrane databases was performed. The quality of the evidence was evaluated in the context of study design. This paper is a narrative summary of the results obtained from individual reviews. There were significant disparities in the studies in terms of design, research and methodology, and outcomes analyzed. There is reasonable evidence available for pharmacological approaches; however, these are also associated with adverse events. Evidence for nonpharmacological approaches is limited and hence their efficacy is unclear, although they do appear to be primarily safe. A multimodal approach using a combination of nonpharmacological and pharmacological options to treat these pain conditions is likely to have the most benefit while limiting risk. Research trials with sound methodology and analysis of outcome data are needed.

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来源期刊
Pain Research and Treatment
Pain Research and Treatment Medicine-Anesthesiology and Pain Medicine
CiteScore
3.60
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0.00%
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