关键词: Chronic Low back pain Pharmacological therapy Spine

Mesh : Humans Analgesics, Opioid / therapeutic use Chronic Pain / diagnosis drug therapy Clinical Trials as Topic Low Back Pain / diagnosis drug therapy Quality of Life Practice Guidelines as Topic

来  源:   DOI:10.1186/s12891-023-06537-0   PDF(Pubmed)

Abstract:
The pharmacological management of nonspecific chronic low back pain (NCLBP) aims to restore patients\' daily activities and improve their quality of life. The management of NCLBP is not well codified and extremely heterogeneous, and residual symptoms are common. Pharmacological management should be considered as co-adjuvant to non-pharmacological therapy, and should be guided by the symptoms reported by the patients. Depending on the individual severity of NCLPB, pharmacological management may range from nonopioid to opioid analgesics. It is important to identify patients with generalized sensory hypersensitivity, who may benefit from dedicated therapy. This article provides an evidence-based overview of the principles of pharmacological management of NCLPB.
摘要:
非特异性慢性下腰痛(NCLBP)的药物治疗旨在恢复患者的日常活动并改善其生活质量。NCLBP的管理没有很好地编纂,而且极其异质,残留症状很常见。药物管理应被视为非药物治疗的辅助治疗,并且应该以患者报告的症状为指导。根据NCLPB的个别严重程度,药物治疗范围可从非阿片类到阿片类镇痛药.识别患有全身感觉过敏的患者很重要,他们可能会从专门的治疗中受益。本文对NCLPB的药理管理原理进行了循证概述。
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