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慢性疼痛是临床常见的病症,给患者和社会都带来极大的负担。其发病机制受生理、心理和社会等多种因素的影响较为复杂,因此,慢性疼痛的治疗一直是临床上的一大难题。单一的治疗手段往往不能取得令人满意的效果,目前常采用多手段联合的方式来治疗慢性疼痛,常见的包括药物治疗、心理治疗、介入治疗以及自我管理等。针对不同类型的慢性疼痛甚至同一类型的不同病人其治疗方案也不尽相同,近年来兴起的跨学科康复计划为慢性疼痛的治疗指明了方向。本文就慢性疼痛治疗的研究进展进行了综述,以期为临床实践提供更多参考和理论依据。
Chronic pain is a common clinical condition, which brings great burden to patients and society. Its pathogenesis is complicated by many factors such as physiology, psychology and society. Therefore, the treatment of chronic pain has been a major clinical problem. Single treatment often can not achieve satisfactory results. At present, we often use a combination of methods to treat chronic pain. Common treatments include medication, psychotherapy, interventional therapy and self-management. Therapies vary in different types of chronic pain and even in different patients of the same type. The emerging interdisciplinary rehabilitation programs point the way to chronic pain management. This article reviews the research progress of chronic pain treatment in order to provide more reference and theoretical basis for clinical practice.