Evaluation of patients for implantable pain modalities: Medical and behavioral assessment
Evaluation of patients for implantable pain modalities: Medical and behavioral assessment
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DOI：
10.1097/00002508-200109000-00004
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发表时间：
2001-09-01
影响因子：
2.9
通讯作者：
Jacobs, M
中科院分区：
文献类型：
--
作者：
Prager, J;Jacobs, M
背景：神经生物学的进展是当前和不断发展的植入性疼痛模式的基础，包括神经刺激和神经轴给药系统。疼痛的适当治疗始于基于彻底的身体和行为评估的准确诊断。措施：医学评估包括回顾患者的病史、诊断研究、体检、完整的诊断体检以及拟议的植入性治疗的筛查试验。行为评估包括回顾患者的病史和医疗记录。临床访谈，精神状态检查。心理测试。结论：慢性疼痛患者受神经生理、情绪等因素的影响。以及支配他们对疼痛和疼痛缓解的感知的行为影响。因此。慢性疼痛的治疗是多学科的，利用认知和行为心理治疗、功能康复。整形外科和神经外科手术、药物、神经阻断、神经增强手术，有时还包括神经破坏性手术。适当选择患者有助于确保为最有可能受益的人使用植入性疗法。
Background: Advances in neurobiology serve as the basis for current and evolving implantable pain modalities, consisting of neurostimulation and neuraxial drug administration systems. Appropriate treatment of pain begins with an accurate diagnosis based on thorough physical and behavioral evaluations.Measures: The medical evaluation includes a review of the patient's medical history, diagnostic studies, physical examination, complete diagnostic workup, and screening trial of the proposed implantable therapy. The behavioral evaluation includes a review of the patient's history and medical records. clinical interview, mental status examination. psychological testing. and determination of suitability for implantation.Conclusions: Patients with chronic pain are subject to neurophysiological, emotional. and behavioral influences that govern their perception of pain and of pain relief. Therefore. treatment of chronic pain is multidisciplinary, drawing on cognitive and behavioral psychological therapies, functional rehabilitation. orthopedic and neurologic surgery, medications, nerve blockade, neuroaugmentative procedures, and sometimes neurodestructive procedures. Appropriate selection of patients helps ensure that implantable therapies are used for those who are most likely to benefit.