Understanding Chronic Pain

Understanding Chronic Pain pdf epub mobi txt 电子书 下载 2026

出版者:Univ Pr of Mississippi
作者:Myers, Ann
出品人:
页数:162
译者:
出版时间:
价格:$ 15.82
装帧:Pap
isbn号码:9781578064403
丛书系列:
图书标签:
  • 慢性疼痛
  • 疼痛管理
  • 疼痛缓解
  • 健康
  • 自助
  • 心理健康
  • 神经科学
  • 身体健康
  • 替代疗法
  • 自我护理
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具体描述

Pain accounts for more than thirty-five million new office visits and more than seventy million of all office visits to physicians each year in the United States. Although there is no cure for chronic pain, "Understanding Chronic Pain" outlines new and effective treatments that focus on the management of pain and improvement in a patient's quality of life. In the United States approximately ninety million people suffer from chronic pain, with an estimated cost exceeding $125 billion annually in health care, disability compensation, lost productivity, and lost tax revenue. To provide information about the mechanisms of such suffering and about current treatments, the authors of "Understanding Chronic Pain" have combined their experiences as teachers, physicians, and therapists. Their book is intended for those individuals burdened by chronic pain, as well as for their families, coworkers, employers, and friends. Chronic pain disables more people than cancer or heart disease and costs more than both combined. It is estimated that five million Americans are partially disabled by back problems, and two million are so severely disabled that they cannot work. Twenty million people endure arthritis pain; forty million experience chronic recurrent headaches. The majority of individuals in intermediate or advanced stages of cancer suffer moderate to severe pain. Only within the last two decades has there been a surge of interest in specifically addressing the issue of chronic pain and its relief through research and clinical application. Previously, it was believed that pain was necessarily associated with tissue damage. Pain that persisted past the normal time of healing was attributed to neurosis or hysteria. Over the last twenty years our understanding of the underlying mechanisms of chronic pain has significantly increased. "Understanding Chronic Pain" treats these afflictions not as symptoms, but as a specific medical problem to be addressed with specific treatment methods and interventions. For many people with such chronic conditions as back pain and arthritis, the pain from the condition may interfere with the quality of their lives more than the actual disease or injury. Angela J. Koestler is co-owner of the Nordal Clinic in Vicksburg, Mississippi, and is the director of Behavioral Health Services at the Methodist Rehabilitation Center in Jackson. Ann Myers is clinical associate professor of medicine at the University of Mississippi Medical Center in Jackson and is also in private practice.

《理解慢性疼痛》是一本深入探讨现代医学在理解和管理慢性疼痛方面最新进展的著作。本书旨在为医疗专业人员、研究人员以及任何希望更深入了解这一复杂健康问题的人们提供一个全面而易于理解的视角。 本书从神经科学的基础知识出发,详细阐述了疼痛信号如何在人体内传递,以及大脑如何处理这些信号。它将带您穿越神经通路,解释 nociception(伤害感受)的生理机制,并深入探讨感觉、情感和认知因素如何共同作用,塑造我们对疼痛的感知。作者清晰地勾勒出急性疼痛和慢性疼痛之间的关键区别,强调慢性疼痛不仅仅是急性疼痛的延长,而是一种可能涉及中枢神经系统和外周神经系统适应性改变的复杂病理生理过程。 本书的第二部分聚焦于导致慢性疼痛的各种常见原因和机制。它详细介绍了包括神经病理性疼痛(如糖尿病神经病变、带状疱疹后神经痛)、炎性疼痛(如类风湿关节炎、骨关节炎)以及中枢性疼痛(如纤维肌痛、慢性腰痛)在内的多种疼痛类型。书中不仅探讨了这些疾病的病因学,还深入分析了它们各自独特的发病机制,例如神经损伤、炎症反应的持续、中枢敏化以及神经递质失衡等。对于读者而言,这将是一个系统学习不同慢性疼痛亚型及其潜在生物学基础的宝贵机会。 《理解慢性疼痛》的第三部分是关于当前在慢性疼痛诊断和评估方面所采用的方法。本书强调了多模态评估的重要性,这包括详细的病史采集、全面的体格检查,以及运用各种量表和问卷来量化疼痛的强度、性质、对生活功能的影响以及患者的情绪状态。书中还会介绍一些常用的神经影像学技术,如MRI和PET扫描,以及电生理学检查,解释它们如何在诊断过程中提供有价值的辅助信息,帮助识别疼痛的来源和潜在的病理改变。 本书的重点之一在于详细介绍当前治疗慢性疼痛的各种策略。它涵盖了药物治疗的最新进展,包括不同类别止痛药的作用机制、疗效和潜在副作用,如非甾体抗炎药(NSAIDs)、阿司匹林、阿片类药物、抗抑郁药和抗惊厥药等。本书也会深入探讨非药物治疗方法,例如物理治疗、职业治疗、心理治疗(如认知行为疗法CBT、接纳与承诺疗法ACT)、介入性治疗(如神经阻滞、脊髓刺激)、针灸、运动疗法以及生活方式的调整(如营养、睡眠卫生和压力管理)。每一类治疗方法都将进行详细的介绍,并分析其在不同慢性疼痛患者中的适用性和有效性。 此外,《理解慢性疼痛》还关注慢性疼痛对患者心理和社会层面的影响。书中会探讨慢性疼痛如何导致抑郁、焦虑、睡眠障碍、社交孤立以及生活质量下降。作者将分享有效的心理干预策略,帮助患者学习应对疼痛的技巧,改善情绪状态,并重新融入社会生活。书中还会讨论建立强大的社会支持系统以及慢性疼痛患者在家庭、工作和社区中可能面临的挑战。 本书的另一大亮点在于其对慢性疼痛未来研究方向的展望。它将讨论正在进行的临床试验和新兴的治疗技术,例如靶向特定分子通路的新型药物、基因疗法、神经调控技术以及基于人工智能的疼痛管理工具。作者将分享对慢性疼痛领域未来发展的深刻见解,并鼓励读者思考如何推动这一领域的进一步发展。 《理解慢性疼痛》并非一本简单的医学教科书,它更像是一本指南,引导读者深入探索慢性疼痛这一复杂而普遍存在的健康难题。书中融合了最新的科学发现、临床实践和患者体验,旨在提升我们对慢性疼痛的整体理解,并为改善患者的生活质量提供切实可行的解决方案。无论您是专业的医疗保健提供者,还是受到慢性疼痛困扰的个人,亦或是希望了解这一问题的普通大众,本书都将为您提供宝贵的知识和深刻的启示。

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