老年患者慢性肌肉骨骼疼痛管理中国专家共识(2019)

2019-05-30 中华医学会老年医学分会 中华老年医学杂志.2019.38(5):500-507..

老年患者慢性肌肉骨骼疼痛患病率高,最常见的疼痛部位是腰背部和膝关节。疼痛受多因素影响,老年患者合并疾病较多,慢性肌肉骨骼疼痛的管理要采取多模式综合干预方法。药物治疗要考虑安全、有效及费用,外用非甾体抗炎药可作为治疗轻、中度老年患者慢性肌肉骨骼疼痛的首选药物;口服非甾体抗炎药要用最低的有效剂量和最短的疗程。心理干预可减轻慢性疼痛并减少药物使用。定期随访动态评估要贯穿整个管理过程。

中文标题:

老年患者慢性肌肉骨骼疼痛管理中国专家共识(2019)

发布日期:

2019-05-30

简要介绍:

老年患者慢性肌肉骨骼疼痛患病率高,最常见的疼痛部位是腰背部和膝关节。疼痛受多因素影响,老年患者合并疾病较多,慢性肌肉骨骼疼痛的管理要采取多模式综合干预方法。药物治疗要考虑安全、有效及费用,外用非甾体抗炎药可作为治疗轻、中度老年患者慢性肌肉骨骼疼痛的首选药物;口服非甾体抗炎药要用最低的有效剂量和最短的疗程。心理干预可减轻慢性疼痛并减少药物使用。定期随访动态评估要贯穿整个管理过程。 

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  1. [GetPortalCommentsPageByObjectIdResponse(id=1231936, encodeId=b0c2123193645, content=学习了,很有用, beContent=null, objectType=guider, channel=null, level=null, likeNumber=61, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210920/cc1287d895a346908d9358058cdb61ff/5ef3f7950426411ea0c9966d76a74064.jpg, createdBy=1d315559103, createdName=ms6000000225486324, createdTime=Tue Jul 12 08:12:37 CST 2022, time=2022-07-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=974403, encodeId=3af19e44033c, content=学习, beContent=null, objectType=guider, channel=null, level=null, likeNumber=87, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210619/0922a5df24904e4f86d563d49079aa1d/bf4a0e7be5fb4e7892ff94a8306fe9b7.jpg, createdBy=fc9b4705948, createdName=麻无赦, createdTime=Thu Jun 17 15:13:01 CST 2021, time=2021-06-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=973263, encodeId=ebe49e3263fc, content=好好, beContent=null, objectType=guider, channel=null, level=null, likeNumber=73, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=3d9a5484071, createdName=ms2000000732464271, createdTime=Sun Jun 13 13:35:58 CST 2021, time=2021-06-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=973262, encodeId=fcc89e3262df, content=好, beContent=null, objectType=guider, channel=null, level=null, likeNumber=85, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=3d9a5484071, createdName=ms2000000732464271, createdTime=Sun Jun 13 13:35:52 CST 2021, time=2021-06-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=369262, encodeId=8eaa369262b9, content=很好的指南, beContent=null, objectType=guider, channel=null, level=null, likeNumber=109, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/ajNVdqHZLLCEEr4dM45RatXXGAkFCicnNYiasFiaRicicO1YWsIeTFOhgapauqib8Z8TChNB3ttVC5RqNHptDvAxA72Q/0, createdBy=a82a1611288, createdName=yydlt, createdTime=Mon Jul 08 00:49:34 CST 2019, time=2019-07-08, status=1, ipAttribution=)]
    2022-07-12 ms6000000225486324

    学习了,很有用

    0

  2. [GetPortalCommentsPageByObjectIdResponse(id=1231936, encodeId=b0c2123193645, content=学习了,很有用, beContent=null, objectType=guider, channel=null, level=null, likeNumber=61, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210920/cc1287d895a346908d9358058cdb61ff/5ef3f7950426411ea0c9966d76a74064.jpg, createdBy=1d315559103, createdName=ms6000000225486324, createdTime=Tue Jul 12 08:12:37 CST 2022, time=2022-07-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=974403, encodeId=3af19e44033c, content=学习, beContent=null, objectType=guider, channel=null, level=null, likeNumber=87, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210619/0922a5df24904e4f86d563d49079aa1d/bf4a0e7be5fb4e7892ff94a8306fe9b7.jpg, createdBy=fc9b4705948, createdName=麻无赦, createdTime=Thu Jun 17 15:13:01 CST 2021, time=2021-06-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=973263, encodeId=ebe49e3263fc, content=好好, beContent=null, objectType=guider, channel=null, level=null, likeNumber=73, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=3d9a5484071, createdName=ms2000000732464271, createdTime=Sun Jun 13 13:35:58 CST 2021, time=2021-06-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=973262, encodeId=fcc89e3262df, content=好, beContent=null, objectType=guider, channel=null, level=null, likeNumber=85, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=3d9a5484071, createdName=ms2000000732464271, createdTime=Sun Jun 13 13:35:52 CST 2021, time=2021-06-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=369262, encodeId=8eaa369262b9, content=很好的指南, beContent=null, objectType=guider, channel=null, level=null, likeNumber=109, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/ajNVdqHZLLCEEr4dM45RatXXGAkFCicnNYiasFiaRicicO1YWsIeTFOhgapauqib8Z8TChNB3ttVC5RqNHptDvAxA72Q/0, createdBy=a82a1611288, createdName=yydlt, createdTime=Mon Jul 08 00:49:34 CST 2019, time=2019-07-08, status=1, ipAttribution=)]
    2021-06-17 麻无赦

    学习

    0

  3. [GetPortalCommentsPageByObjectIdResponse(id=1231936, encodeId=b0c2123193645, content=学习了,很有用, beContent=null, objectType=guider, channel=null, level=null, likeNumber=61, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210920/cc1287d895a346908d9358058cdb61ff/5ef3f7950426411ea0c9966d76a74064.jpg, createdBy=1d315559103, createdName=ms6000000225486324, createdTime=Tue Jul 12 08:12:37 CST 2022, time=2022-07-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=974403, encodeId=3af19e44033c, content=学习, beContent=null, objectType=guider, channel=null, level=null, likeNumber=87, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210619/0922a5df24904e4f86d563d49079aa1d/bf4a0e7be5fb4e7892ff94a8306fe9b7.jpg, createdBy=fc9b4705948, createdName=麻无赦, createdTime=Thu Jun 17 15:13:01 CST 2021, time=2021-06-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=973263, encodeId=ebe49e3263fc, content=好好, beContent=null, objectType=guider, channel=null, level=null, likeNumber=73, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=3d9a5484071, createdName=ms2000000732464271, createdTime=Sun Jun 13 13:35:58 CST 2021, time=2021-06-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=973262, encodeId=fcc89e3262df, content=好, beContent=null, objectType=guider, channel=null, level=null, likeNumber=85, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=3d9a5484071, createdName=ms2000000732464271, createdTime=Sun Jun 13 13:35:52 CST 2021, time=2021-06-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=369262, encodeId=8eaa369262b9, content=很好的指南, beContent=null, objectType=guider, channel=null, level=null, likeNumber=109, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/ajNVdqHZLLCEEr4dM45RatXXGAkFCicnNYiasFiaRicicO1YWsIeTFOhgapauqib8Z8TChNB3ttVC5RqNHptDvAxA72Q/0, createdBy=a82a1611288, createdName=yydlt, createdTime=Mon Jul 08 00:49:34 CST 2019, time=2019-07-08, status=1, ipAttribution=)]
    2021-06-13 ms2000000732464271

    好好

    0

  4. [GetPortalCommentsPageByObjectIdResponse(id=1231936, encodeId=b0c2123193645, content=学习了,很有用, beContent=null, objectType=guider, channel=null, level=null, likeNumber=61, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210920/cc1287d895a346908d9358058cdb61ff/5ef3f7950426411ea0c9966d76a74064.jpg, createdBy=1d315559103, createdName=ms6000000225486324, createdTime=Tue Jul 12 08:12:37 CST 2022, time=2022-07-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=974403, encodeId=3af19e44033c, content=学习, beContent=null, objectType=guider, channel=null, level=null, likeNumber=87, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210619/0922a5df24904e4f86d563d49079aa1d/bf4a0e7be5fb4e7892ff94a8306fe9b7.jpg, createdBy=fc9b4705948, createdName=麻无赦, createdTime=Thu Jun 17 15:13:01 CST 2021, time=2021-06-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=973263, encodeId=ebe49e3263fc, content=好好, beContent=null, objectType=guider, channel=null, level=null, likeNumber=73, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=3d9a5484071, createdName=ms2000000732464271, createdTime=Sun Jun 13 13:35:58 CST 2021, time=2021-06-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=973262, encodeId=fcc89e3262df, content=好, beContent=null, objectType=guider, channel=null, level=null, likeNumber=85, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=3d9a5484071, createdName=ms2000000732464271, createdTime=Sun Jun 13 13:35:52 CST 2021, time=2021-06-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=369262, encodeId=8eaa369262b9, content=很好的指南, beContent=null, objectType=guider, channel=null, level=null, likeNumber=109, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/ajNVdqHZLLCEEr4dM45RatXXGAkFCicnNYiasFiaRicicO1YWsIeTFOhgapauqib8Z8TChNB3ttVC5RqNHptDvAxA72Q/0, createdBy=a82a1611288, createdName=yydlt, createdTime=Mon Jul 08 00:49:34 CST 2019, time=2019-07-08, status=1, ipAttribution=)]
    2021-06-13 ms2000000732464271

    0

  5. [GetPortalCommentsPageByObjectIdResponse(id=1231936, encodeId=b0c2123193645, content=学习了,很有用, beContent=null, objectType=guider, channel=null, level=null, likeNumber=61, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210920/cc1287d895a346908d9358058cdb61ff/5ef3f7950426411ea0c9966d76a74064.jpg, createdBy=1d315559103, createdName=ms6000000225486324, createdTime=Tue Jul 12 08:12:37 CST 2022, time=2022-07-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=974403, encodeId=3af19e44033c, content=学习, beContent=null, objectType=guider, channel=null, level=null, likeNumber=87, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210619/0922a5df24904e4f86d563d49079aa1d/bf4a0e7be5fb4e7892ff94a8306fe9b7.jpg, createdBy=fc9b4705948, createdName=麻无赦, createdTime=Thu Jun 17 15:13:01 CST 2021, time=2021-06-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=973263, encodeId=ebe49e3263fc, content=好好, beContent=null, objectType=guider, channel=null, level=null, likeNumber=73, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=3d9a5484071, createdName=ms2000000732464271, createdTime=Sun Jun 13 13:35:58 CST 2021, time=2021-06-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=973262, encodeId=fcc89e3262df, content=好, beContent=null, objectType=guider, channel=null, level=null, likeNumber=85, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=3d9a5484071, createdName=ms2000000732464271, createdTime=Sun Jun 13 13:35:52 CST 2021, time=2021-06-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=369262, encodeId=8eaa369262b9, content=很好的指南, beContent=null, objectType=guider, channel=null, level=null, likeNumber=109, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/ajNVdqHZLLCEEr4dM45RatXXGAkFCicnNYiasFiaRicicO1YWsIeTFOhgapauqib8Z8TChNB3ttVC5RqNHptDvAxA72Q/0, createdBy=a82a1611288, createdName=yydlt, createdTime=Mon Jul 08 00:49:34 CST 2019, time=2019-07-08, status=1, ipAttribution=)]
    2019-07-08 yydlt

    很好的指南

    0