[Supportive Therapie und Palliative Konzepte bei Dyspnoe].

IF 0.2 Q4 MEDICINE, GENERAL & INTERNAL THERAPEUTISCHE UMSCHAU Pub Date : 2023-08-01
Cristian Camartin
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引用次数: 0

Abstract

Introduction: Palliative care aims to treat patients who symptomatically are affected by an advanced, incurable disease. Dyspnoea is one of the most common symptoms in various diseases, not only the oncological ones. The treatment of these symptoms requires consideration from different points of view. In palliative care, the bio-psycho-socio-spiritual and cultural model is often applied. Here, different dimensions of the disease are considered, which are especially involved in the case of dyspnoea. The physiology of dyspnoea is very complex and is influenced by various neuronal as well as pulmonary anatomical structures. Various non-pharmacological as well as pharmacological treatment approaches can lead to a decrease in dyspnoea. In particular, active physiotherapy and assistive devices optimise the symptoms. From the pharmacological side, mainly opioids but also benzodiazepines, oxygen and Butylscopolamin are used. In the case of very advanced disease, the use of deep continuous sedation to relieve symptoms may be justified if the symptoms are refractory to therapy. Successful treatment of dyspnoea leads to a substantial improvement in the quality of life of palliative care patients.

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呼吸困难的支持性治疗和缓解概念。
引言:姑息治疗旨在治疗有症状的晚期不治之症患者。呼吸困难是各种疾病中最常见的症状之一,而不仅仅是肿瘤学疾病。这些症状的治疗需要从不同的角度考虑。在姑息治疗中,通常采用生物-心理-社会-精神和文化模式。在这里,考虑了疾病的不同方面,尤其是在呼吸困难的情况下。呼吸困难的生理学非常复杂,受到各种神经元和肺部解剖结构的影响。各种非药物和药物治疗方法可以减少呼吸困难。特别是,积极的物理治疗和辅助设备可以优化症状。从药理学角度来看,主要使用阿片类药物,但也使用苯二氮卓类药物、氧气和丁东莨菪碱。在非常晚期的疾病的情况下,如果症状对治疗无效,则使用深度持续镇静来缓解症状可能是合理的。呼吸困难的成功治疗可显著提高姑息治疗患者的生活质量。
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来源期刊
THERAPEUTISCHE UMSCHAU
THERAPEUTISCHE UMSCHAU MEDICINE, GENERAL & INTERNAL-
CiteScore
0.50
自引率
0.00%
发文量
75
期刊介绍: Monat für Monat ein aktuelles Thema der praktischen Medizin - als Sammlung ein hochaktuelles Nachschlagewerk.
期刊最新文献
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