Daria Irina Romero-Luna, Arturo Jaime Córdova, Y. Bustamante-Quan, Yolanda Valera-Rodríguez, Alberto Kably-Ambe
{"title":"Schwannoma en el puerperio","authors":"Daria Irina Romero-Luna, Arturo Jaime Córdova, Y. Bustamante-Quan, Yolanda Valera-Rodríguez, Alberto Kably-Ambe","doi":"10.35366/103891","DOIUrl":"https://doi.org/10.35366/103891","url":null,"abstract":"","PeriodicalId":106683,"journal":{"name":"Revista Mexicana de Anestesiología","volume":"25 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127289132","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Selene Sharid Torres-Valdés, O. Carrillo-Torres, D. M. Rascón-Martínez
. Ketamine is a drug known for
． 氯胺酮是一种众所周知的药物
{"title":"Clínicas de ketamina: usos actuales según la evidencia","authors":"Selene Sharid Torres-Valdés, O. Carrillo-Torres, D. M. Rascón-Martínez","doi":"10.35366/111076","DOIUrl":"https://doi.org/10.35366/111076","url":null,"abstract":". Ketamine is a drug known for","PeriodicalId":106683,"journal":{"name":"Revista Mexicana de Anestesiología","volume":"17 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125311680","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Janaí Santiago-López, Víctor León-Ramírez, Hilen Bravo-Briseño, A. Castellanos-Olivares
Introduction: There is controversy about the use of early extubation in patients undergoing aortic valve replacement due to stenosis, given their tendency to develop postoperative hypertension, which could defeat the whole purpose of the surgical intervention. Objective: To compare the incidence of postoperative reintubation for hypertension in patients undergoing aortic valve replacement using the standard extubation technique and the ultra fast-track. Material and methods: A retrospective cohort study that included 73 cases of patients undergoing aortic valve replacement. The patients were divided into two according to the extubation technique used: standard (group I) and ultra fast-track (group II). The presence of hypertension and postoperative reintubation was evaluated. The analysis of variables was performed using the χ2 test. A p < 0.05 was considered significant. The data were processed using SPSS v. 24.0. Results: 45 patients were in group I and 28 in group II. The incidence of hypertension and reintubation was higher in group II (p = 0.027). There were no differences in morbidity (p = 0.348), mortality (p = 0.202) and length of postoperative stay (p = 0.182). Conclusion: In our hospital unit, the incidence of postoperative reintubation for hypertension in patients undergoing aortic valve replacement with the ultra fast-track technique is higher than with standard extubation. Citar como: Santiago-López J, León-Ramírez V, Bravo-Briseño H, Castellanos-Olivares A. Reintubación postoperatoria en pacientes sometidos a reemplazo valvular aórtico: extubación estándar vs ultra fast-track. Rev Mex Anestesiol. 2021; 44 (4): 245-249. https://dx.doi.org/10.35366/100868
{"title":"Reintubación postoperatoria en pacientes sometidos a reemplazo valvular aórtico: extubación estándar vs ultra fast-track","authors":"Janaí Santiago-López, Víctor León-Ramírez, Hilen Bravo-Briseño, A. Castellanos-Olivares","doi":"10.35366/100868","DOIUrl":"https://doi.org/10.35366/100868","url":null,"abstract":"Introduction: There is controversy about the use of early extubation in patients undergoing aortic valve replacement due to stenosis, given their tendency to develop postoperative hypertension, which could defeat the whole purpose of the surgical intervention. Objective: To compare the incidence of postoperative reintubation for hypertension in patients undergoing aortic valve replacement using the standard extubation technique and the ultra fast-track. Material and methods: A retrospective cohort study that included 73 cases of patients undergoing aortic valve replacement. The patients were divided into two according to the extubation technique used: standard (group I) and ultra fast-track (group II). The presence of hypertension and postoperative reintubation was evaluated. The analysis of variables was performed using the χ2 test. A p < 0.05 was considered significant. The data were processed using SPSS v. 24.0. Results: 45 patients were in group I and 28 in group II. The incidence of hypertension and reintubation was higher in group II (p = 0.027). There were no differences in morbidity (p = 0.348), mortality (p = 0.202) and length of postoperative stay (p = 0.182). Conclusion: In our hospital unit, the incidence of postoperative reintubation for hypertension in patients undergoing aortic valve replacement with the ultra fast-track technique is higher than with standard extubation. Citar como: Santiago-López J, León-Ramírez V, Bravo-Briseño H, Castellanos-Olivares A. Reintubación postoperatoria en pacientes sometidos a reemplazo valvular aórtico: extubación estándar vs ultra fast-track. Rev Mex Anestesiol. 2021; 44 (4): 245-249. https://dx.doi.org/10.35366/100868","PeriodicalId":106683,"journal":{"name":"Revista Mexicana de Anestesiología","volume":"109 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133334016","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
José Eduardo Bendaña, Lea Crisel Salinas-Vallecillo
{"title":"Esplenectomía laparoscópica en paciente con síndrome de Evans","authors":"José Eduardo Bendaña, Lea Crisel Salinas-Vallecillo","doi":"10.35366/103889","DOIUrl":"https://doi.org/10.35366/103889","url":null,"abstract":"","PeriodicalId":106683,"journal":{"name":"Revista Mexicana de Anestesiología","volume":"334 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132188206","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"In Memoriam. Dr. Luis Arturo Pérez Tamayo","authors":"A. Silva-Jiménez","doi":"10.35366/103893","DOIUrl":"https://doi.org/10.35366/103893","url":null,"abstract":"","PeriodicalId":106683,"journal":{"name":"Revista Mexicana de Anestesiología","volume":"18 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127423167","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Mariana Carolina González-Grijalva, Gabriela Josefina Vidaña-Martínez, Gloria Fabiola Álvarez-Orenday, R. D. Tirado-Aguilar, Mauricio Pierdant-Pérez
{"title":"Menor aerolización con bloqueo del nervio laríngeo superior comparado con lidocaína intravenosa a la extubación","authors":"Mariana Carolina González-Grijalva, Gabriela Josefina Vidaña-Martínez, Gloria Fabiola Álvarez-Orenday, R. D. Tirado-Aguilar, Mauricio Pierdant-Pérez","doi":"10.35366/110196","DOIUrl":"https://doi.org/10.35366/110196","url":null,"abstract":"","PeriodicalId":106683,"journal":{"name":"Revista Mexicana de Anestesiología","volume":"54 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130473974","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Yeraldi Azucena Merino-Machuca, José Antonio Barragán-Zamora, Víctor León-Ramírez, Janaí Santiago-López
Introduction: It has been suggested that the use of a cell saver reduces the content of proinflammatory cytokines after cardiac surgery, improving the balance of these cytokines in the systemic circulation, which in turn could minimize the inflammatory response that contributes to postoperative pulmonary dysfunction. Objective: To compare the postoperative gas exchange in patients undergoing cardiac surgery with the use of cell saver and without it. Material and methods: A prospective cohort study that included 253 patients undergoing cardiac surgery under cardiopulmonary bypass. The patients were assigned to two study groups depending on whether a cell saver was used: group I (without cell saver) and group II (with cell saver). The PaO2/FiO2 ratio and the postoperative respiratory morbidity were then estimated. The analysis was done using descriptive and inferential statistics by means of the Student t test and MannWhitney U test. A p < 0.05 was considered significant. The data were processed using SPSS v. 24.0. Results: 59.29% of patients underwent surgery with the use of a cell saver. The PaO2/FiO2 ratio was lower in group II (p = 0.018). There were no differences between groups in respiratory morbidity 30 days after surgery (p = 0.943). Conclusion: The postoperative gas exchange is lower in patients undergoing cardiac surgery with the use of a cell saver than without it. Citar como: Santiago-López J, León-Ramírez V, Barragán-Zamora JA, Merino-Machuca YA. Efecto del uso del recuperador celular en el intercambio gaseoso en pacientes sometidos a cirugía cardíaca. Rev Mex Anestesiol. 2021; 44 (3): 173-177. https://dx.doi.org/10.35366/99663 Rev Mex Anest, 2021; 44 (1): 173-177 @https://dx.doi.org/00.00000/00000 @ INTRODUCCIÓN L etiología de la disfunción pulmonar luego de cirugía cardíaca es multifactorial y ocurre secundariamente a los efectos combinados de la anestesia, derivación cardiopulmonar y trauma quirúrgico(1,2). Es bien conocido que la circulación extracorpórea afecta la función pulmonar mediante la activación de la respuesta inflamatoria, lo que incluye la activación leucocitaria y de la vía alterna del complemento Efecto del uso del recuperador celular en el intercambio gaseoso en pacientes sometidos a cirugía cardíaca Effect of the use of operative blood salvage on the pulmonary gas exchange in patients undergoing cardiac surgery Dra. Janaí Santiago-López,* Dr. Víctor León-Ramírez,* Dr. José Antonio Barragán-Zamora,‡ Dra. Yeraldi Azucena Merino-Machuca‡ que condiciona la liberación de radicales libres, proteasas, leucotrienos y otros metabolitos del ácido araquidónico así como acumulación de neutrófilos con obstrucción del flujo capilar y liberación de elastasa a la circulación pulmonar, resultando en un incremento de la permeabilidad capilar pulmonar y daño en el parénquima(3). Se ha sugerido que el recuperador celular reduce el contenido de citocinas proinflamatorias después de la cirugía cardíaca y mejora el equilibrio entre las c
导语:有研究表明，使用细胞保存器可以降低心脏手术后促炎细胞因子的含量，改善这些细胞因子在体循环中的平衡，从而减少导致术后肺功能障碍的炎症反应。目的:比较心脏手术患者使用细胞保存器与不使用细胞保存器的术后气体交换情况。材料和方法:一项前瞻性队列研究，包括253例在体外循环下接受心脏手术的患者。根据是否使用细胞保存器将患者分为两个研究组:I组(不使用细胞保存器)和II组(使用细胞保存器)。然后估计PaO2/FiO2比率和术后呼吸系统发病率。通过学生t检验和MannWhitney U检验，采用描述性统计和推理统计进行分析。p < 0.05为显著性。数据采用SPSS v. 24.0进行处理。结果:59.29%的患者在手术中使用了细胞保存器。ⅱ组PaO2/FiO2比值较低(p = 0.018)。术后30 d呼吸系统发病率组间比较差异无统计学意义(p = 0.943)。结论:心脏手术中使用细胞保存器的患者术后气体交换低于未使用细胞保存器的患者。Citar como: Santiago-López J, León-Ramírez V, Barragán-Zamora JA, Merino-Machuca YA。对病人的影响，有时是一个cirugía cardíaca。Rev Mex anestiol . 2021;44(3): 173-177。https://dx.doi.org/10.35366/99663 Rev Mex Anest, 2021;44 (1): 173-177 @https://dx.doi.org/00.00000/00000 @ INTRODUCCIÓN L etiología de la disfunción pulmonar luego de cirugía cardíaca es多因素发生继发性损伤和损失效应联合麻醉，derivación心肺创伤quirúrgico(1,2)。心脏手术患者肺内气体交换的影响:肺内气体交换的影响:circulación extracorpórea肺内气体交换:función肺内气体交换:función肺内气体交换:activación肺内气体交换:activación肺内气体交换:vía肺内气体交换:activación肺内气体交换:vía肺内气体交换:vía肺内气体交换:activación肺内气体交换:activación肺内气体交换:víaJanaí Santiago-López，*博士Víctor León-Ramírez，*博士何塞·安东尼奥Barragán-Zamora，‡德拉。Azucena Merino-Machuca的研究结果表明:(1)疾病条件为liberación de radicales libres, proteas, leucotrienos和代谢产物为ácido araquidónico así como acumulación de neutrófilos con obstrucción del flujo毛细血管y liberación de elastasa a la circulación pulmonar，结果为:(3)de la通透性毛细血管肺y daño en el paracemenquima(3)。研究结果表明:糖的代谢速率与细胞的代谢速率、细胞的代谢速率、细胞的代谢速率、细胞的代谢速率、细胞的代谢速率、细胞的代谢速率、细胞的代谢速率、细胞的代谢速率、细胞的代谢速率、细胞的代谢速率、细胞的代谢速率、细胞的代谢速率、细胞的代谢速率、细胞的代谢速率、细胞的代谢速率、细胞的代谢速率、细胞的代谢速率、细胞的代谢速率、细胞的代谢速率等。生物化学通报，2011;44 (3): 173 - 177 www.medigraphic.org.mx antiinflamatorias en la circulacion sistemica(4 - 7),瞧,podria minimizar la respuesta inflamatoria, contribuye像disfuncion pulmonar postoperatoria y si当agregamos de输血de la reduccion en la necesidad globulos罗霍autologos, podria favorecer aun mas el equilibrio之间las citoquinas(8)。术后随访disfunción肺脏随访cirugía cardíaca，包括术后随访无并发症，随访定量随访，术后随访与术前术前吻合，documentándose además reducción肺脏随访依从性随访así肺脏随访及肺活量随访;正常情况下的呼吸道损伤algún肺张力不全分级(9)。Para - evaluationla disfunción肺动脉术后观察到的肺动脉导管导管内导管内导管内导管内导管内导管内导管内导管内导管内导管内导管内导管内导管内导管内导管内导管内导管内导管内导管内导管内导管内导管内导管内导管内导管内导管内导管内导管内导管内导管内导管内导管内导管内导管内导管内导管内导管内导管内导管内导管内导管内导管内导管内导管内导管内导管内导管内导管内导管内导管内导管内导管内导管内导管内导管内导管内导管内导管内导管内导管内导管内导管内导管内导管内导管内导管内导管内导管内导管内导管内导管内导管内导管内导管内导管内导管内导管内导管内导管内导管内导管内导管内导管内导管内导管。1 . valor de 500 permit determinar que se estest<s:1> llevando a cabo correctamente la oxigenación, pero cudo este valor disminye de debajo de 300 indica alteración seria del interbio gaseoso y continúa descendiendo, el trastorno se considera más grave。存在entides en las que se utilizan como criterio diagnóstico, como es el caso del síndrome de distr<s:1> respiratory orio del adult (menor de 200) and la lesión pulmonar aguda(200-300)(10)。Así，一个pesar de los continuos avances en as tsamicnicas derivación cardiopulmonar, la disfunción pulmonar luego de cirugía cardíaca continúa siendo una importante causa de morbilidad(11)。
{"title":"Efecto del uso del recuperador celular en el intercambio gaseoso en pacientes sometidos a cirugía cardíaca","authors":"Yeraldi Azucena Merino-Machuca, José Antonio Barragán-Zamora, Víctor León-Ramírez, Janaí Santiago-López","doi":"10.35366/99663","DOIUrl":"https://doi.org/10.35366/99663","url":null,"abstract":"Introduction: It has been suggested that the use of a cell saver reduces the content of proinflammatory cytokines after cardiac surgery, improving the balance of these cytokines in the systemic circulation, which in turn could minimize the inflammatory response that contributes to postoperative pulmonary dysfunction. Objective: To compare the postoperative gas exchange in patients undergoing cardiac surgery with the use of cell saver and without it. Material and methods: A prospective cohort study that included 253 patients undergoing cardiac surgery under cardiopulmonary bypass. The patients were assigned to two study groups depending on whether a cell saver was used: group I (without cell saver) and group II (with cell saver). The PaO2/FiO2 ratio and the postoperative respiratory morbidity were then estimated. The analysis was done using descriptive and inferential statistics by means of the Student t test and MannWhitney U test. A p < 0.05 was considered significant. The data were processed using SPSS v. 24.0. Results: 59.29% of patients underwent surgery with the use of a cell saver. The PaO2/FiO2 ratio was lower in group II (p = 0.018). There were no differences between groups in respiratory morbidity 30 days after surgery (p = 0.943). Conclusion: The postoperative gas exchange is lower in patients undergoing cardiac surgery with the use of a cell saver than without it. Citar como: Santiago-López J, León-Ramírez V, Barragán-Zamora JA, Merino-Machuca YA. Efecto del uso del recuperador celular en el intercambio gaseoso en pacientes sometidos a cirugía cardíaca. Rev Mex Anestesiol. 2021; 44 (3): 173-177. https://dx.doi.org/10.35366/99663 Rev Mex Anest, 2021; 44 (1): 173-177 @https://dx.doi.org/00.00000/00000 @ INTRODUCCIÓN L etiología de la disfunción pulmonar luego de cirugía cardíaca es multifactorial y ocurre secundariamente a los efectos combinados de la anestesia, derivación cardiopulmonar y trauma quirúrgico(1,2). Es bien conocido que la circulación extracorpórea afecta la función pulmonar mediante la activación de la respuesta inflamatoria, lo que incluye la activación leucocitaria y de la vía alterna del complemento Efecto del uso del recuperador celular en el intercambio gaseoso en pacientes sometidos a cirugía cardíaca Effect of the use of operative blood salvage on the pulmonary gas exchange in patients undergoing cardiac surgery Dra. Janaí Santiago-López,* Dr. Víctor León-Ramírez,* Dr. José Antonio Barragán-Zamora,‡ Dra. Yeraldi Azucena Merino-Machuca‡ que condiciona la liberación de radicales libres, proteasas, leucotrienos y otros metabolitos del ácido araquidónico así como acumulación de neutrófilos con obstrucción del flujo capilar y liberación de elastasa a la circulación pulmonar, resultando en un incremento de la permeabilidad capilar pulmonar y daño en el parénquima(3). Se ha sugerido que el recuperador celular reduce el contenido de citocinas proinflamatorias después de la cirugía cardíaca y mejora el equilibrio entre las c","PeriodicalId":106683,"journal":{"name":"Revista Mexicana de Anestesiología","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130485373","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Yadira Irlette Martínez-Ruíz, Evelyn Judith Cruz-Nocelo, María Concepción Serratos-Vázquez
Introduction: It is estimated that of the total number of people who report chronic pain, one in every four presents pain of musculoskeletal origin. The objective of the study was to analyze the demographic and clinical profile of the patient with musculoskeletal pathology who visits a specialized pain treatment center for the first time. Material and methods: A cross-sectional, descriptive and retrospective study consisting of the review of the clinical history of the records archived from 2009 to 2017 of the Interdisciplinary Center for the Study and Treatment of Pain and Palliative Care of the UMAE «Dr. Victorio de la Fuente Narváez». Results: 4,518 records were included. The median age of patients was 59 years (IQR 47:72), with more frequent consultation for the female gender (62%). Chronic pain occurred in 83% of patients with an intensity assessed by the average visual analog scale (VAS) of 6 (± 2.4). Mixed pain syndrome (somatic and neuropathic) occurred more frequently (41%). Conclusions: The progression of chronic degenerative diseases on the musculoskeletal system impacts on the origin and evolution of chronic pain. The moment in which patients are referred to a clinic of pain and receive specific treatment could modify its evolution and consequences. Citar como: Martínez-Ruiz YI, Cruz-Nocelo EJ, Serratos-Vázquez MC. Perfil algológico del paciente con enfermedad del sistema musculoesquelético. Rev Mex Anestesiol. 2021; 44 (3): 166-172. https://dx.doi.org/10.35366/99662 Rev Mex Anest, 2021; 44 (3): 166-172 @https://dx.doi.org/00.00000/00000 @ INTRODUCCIÓN L Organización Mundial de la Salud (OMS) reconoce al dolor crónico como un problema de salud pública(1). A nivel internacional, se ha estimado que afecta del 25 al 29% de la población general(2) representando del 15 al 20% de las consultas médicas(3). En México, es posible que poco más de 28 millones de habitantes padezcan este tipo de dolor(2). El dolor crónico se ha reconocido como aquel dolor que persiste más allá del tiempo de curación normal, carece de la función de advertencia aguda de la nocicepción fisiológica y es definido como un dolor persistente o recurrente con duración mayor a tres meses(3). Se estima que del total de personas que refieren dolor crónico, uno de cada cuatro presenta dolor de origen musculoesquelético(4). Numerosos estudios han documentado el manejo del dolor crónico en una variedad de contextos con resultados variables; sin embargo, los mejores resultados se han observado en las clínicas multidisciplinarias de dolor. Lamentablemente, en la actualidad estos servicios Perfil algológico del paciente con enfermedad del sistema musculoesquelético Algological profile of the patient with musculoskeletal system disease Dra. Yadira Irlette Martínez-Ruiz,* Dra. Evelyn Judith Cruz-Nocelo,‡ Dra. María Concepción Serratos-Vázquez‡ Martínez-Ruiz YI y cols. Perfil del paciente con dolor musculoesquelético 167 www.medigraphic.com/rma www.medigraphic.org.mx no están disponi
引言:据估计，在报告慢性疼痛的总人数中，每4人中就有1人出现肌肉骨骼疼痛。该研究的目的是分析第一次到专门的疼痛治疗中心就诊的肌肉骨骼病理患者的人口统计学和临床概况。材料和方法:一项横断面、描述性和回顾性研究，包括对UMAE疼痛和姑息治疗研究与治疗跨学科中心2009年至2017年存档的临床记录的回顾。维多利亚·德拉·富恩特Narváez»。结果:共纳入4518条记录。患者的中位年龄为59岁(IQR 47:72)，女性患者就诊频率更高(62%)。83%的患者出现慢性疼痛，平均视觉模拟评分(VAS)为6(±2.4)。混合性疼痛综合征(躯体和神经性)发生率更高(41%)。结论:慢性退行性疾病对肌肉骨骼系统的影响影响慢性疼痛的发生和演变。病人被转介到疼痛诊所并接受特定治疗的那一刻可能会改变疼痛的演变和后果。参考文献:Martínez-Ruiz YI, Cruz-Nocelo EJ, Serratos-Vázquez MC. Perfil algológico del paciente confermedad del sistema musuloesquelvac。Rev Mex anestiol . 2021;44(3): 166-172。https://dx.doi.org/10.35366/99662 Rev Mex Anest, 2021;44 (3): 166-172 @https://dx.doi.org/00.00000/00000 @ INTRODUCCIÓN L Organización OMS (Mundial de la Salud) reconce al dolor crónico como un problema de Salud pública(1)。一项新的国际研究表明，估计影响范围为25个国家29%，总体影响范围为población(2)，代表范围为15个国家20%，总体影响范围为15个国家20%(3)。在墨西哥境内，有可能有2千8百万居民在那里居住(2)。El dolor crónico se ha reconocido como aquel dolor que persist más all del timempo de curación normal, carece de la función de advertencia aguda de la nocicepción fisiológica y es definido como un dolpersistent o recurte con duración mayor a treres meses(3)。1 .我估计我的全部人格和我的全部人格都是相同的crónico，我的全部人格和我的全部人格都是相同的(4)。许多工作室都有自己的风格和风格，例如:crónico在不同的背景下，不同的结果变量;在过去的一年里，我们的研究成果都是通过观察到的clínicas多学科的美元。令人遗憾的是，我们的研究对象是骨骼肌肉系统疾病患者的血清学资料。Yadira Irlette Martínez-Ruiz，*德拉。伊芙琳·朱迪思·克鲁兹-诺塞洛，德拉。María Concepción Serratos-Vázquez‡Martínez-Ruiz YI y cols。Perfil del paciente con dolculoesquel录影带录影带167 www.medigraphic.com/rma www.medigraphic.org.mx no están disponbles para la totalidad de la población;连续地，la mayor partite de la atención msamicdia del dolor crónico se brinda En primer nivel(5)。La Unidad mamedia de aleta especalidad (UMAE)«博士。Victorio de la款纳»德尔研究院Mexicano del原本社会(IMSS) esta constituida几率非常医院(el医院de Ortopedia el医院de Traumatologia y la失去药物运动的y Rehabilitacion Norte) dirigidos al工厂化y及de los pacientes con patologia neuromusculoesqueletica en熔丝联合会cronica-degenerativa y de secuela熔丝,otorgando de especialidad联合国promedio dia de 840咨询。2009年1月comenzó成立了一个专门的机构Clínica，建立了一个跨学科研究中心，建立了一个专门的研究中心，建立了一个专门的研究中心，建立了一个专门的研究中心，建立了一个专门的研究中心，建立了一个专门的研究中心。研究目的:建立一种新型的研究方法，通过对研究对象的分析，确定研究对象的性能demográfico y clínico de los pacentes que acuden primera vez a este centro。
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