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Revista de la Sociedad Espanola del Dolor最新文献

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Estimulación eléctrica continua para el tratamiento de la neuralgia del trigémino 持续电刺激治疗三叉神经痛
Q4 Medicine Pub Date : 2023-01-01 DOI: 10.20986/resed.2023.4043/2022
Juan Carlos Acevedo Gonzalez, Jose Bello Romero
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引用次数: 0
El impacto en la calidad de vida, la depresión y el manejo analgésico se asocian al sufrimiento en pacientes con fibromialgia. Un estudio transversal 对生活质量、抑郁和镇痛管理的影响与纤维肌痛患者的痛苦有关。横断面研究
Q4 Medicine Pub Date : 2023-01-01 DOI: 10.20986/resed.2023.4061/2023
Camila Sánchez Salazar, José Hugo Arias Botero, Alicia Krikorian Daveloza
{"title":"El impacto en la calidad de vida, la depresión y el manejo analgésico se asocian al sufrimiento en pacientes con fibromialgia. Un estudio transversal","authors":"Camila Sánchez Salazar, José Hugo Arias Botero, Alicia Krikorian Daveloza","doi":"10.20986/resed.2023.4061/2023","DOIUrl":"https://doi.org/10.20986/resed.2023.4061/2023","url":null,"abstract":"","PeriodicalId":35974,"journal":{"name":"Revista de la Sociedad Espanola del Dolor","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135698950","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}
引用次数: 0
Efectividad de adicionar elongación de la cápsula posterior a un programa de ejercicios en pacientes con síndrome de pinzamiento subacromial: estudio clínico aleatorizado. 在肩峰下挤压综合征患者的运动计划中增加后囊拉伸的有效性:一项随机临床研究。
Q4 Medicine Pub Date : 2023-01-01 DOI: 10.20986/resed.2023.3927/2021
Héctor Gutierrez Espinoza, Jonathan Zavala González, Juan Valenzuela Fuenzalida, Carlos Poblete Aro, Felipe Araya Quintanilla
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引用次数: 0
Comentario al artículo: Inyección intraarticular única ecoguiada de ácido hialurónico en la coxartrosis sintomática: estudio retrospectivo de la eficacia de dos presentaciones. 文章评论:eco引导关节内透明质酸注射治疗有症状的髋关节病:两种介绍的回顾性疗效研究。
Q4 Medicine Pub Date : 2023-01-01 DOI: 10.20986/resed.2023.4082/2023
Leonardo Arce Galvez, Claudia Liliana Buitrago Martín, Rafael Enrico Valencia Gomez
{"title":"Comentario al artículo: Inyección intraarticular única ecoguiada de ácido hialurónico en la coxartrosis sintomática: estudio retrospectivo de la eficacia de dos presentaciones.","authors":"Leonardo Arce Galvez, Claudia Liliana Buitrago Martín, Rafael Enrico Valencia Gomez","doi":"10.20986/resed.2023.4082/2023","DOIUrl":"https://doi.org/10.20986/resed.2023.4082/2023","url":null,"abstract":"","PeriodicalId":35974,"journal":{"name":"Revista de la Sociedad Espanola del Dolor","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135555979","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}
引用次数: 0
Fibromialgia, disfunción mitocondrial, estrés oxidativo e inflamación: Ozono como tratamiento multidiana. Caso clínico y revisión de la literatura. 纤维肌痛,线粒体功能障碍,氧化应激和炎症:臭氧作为多靶点治疗。临床病例及文献综述。
Q4 Medicine Pub Date : 2023-01-01 DOI: 10.20986/resed.2023.3987/2022
Marcos Edgar Fernández-Cuadros Fernández-Cuadros, Luz Martín-Martín Martín-Martín, Olga Susana Pérez-Moro Pérez-Moro, Javier Rodríguez de Cía, María Jesús Albaladejo-Florín Albaladejo-Florin
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引用次数: 0
Efectividad del uso de ketamina perioperatoria en pacientes sometidos a cirugía de raquis en tratamiento crónico con opioides 围手术期氯胺酮在慢性阿片类药物治疗脊柱手术患者中的应用效果
Q4 Medicine Pub Date : 2021-04-01 DOI: 10.20986/RESED.2021.3825/2020
U. Rivas, E. V. Barriuso, L. T. Urrutia, M. García, J. Álvarez
Introduction: The number of patients receiving chronic opioids undergoing spinal surgery has increased lately. Elevate records in visual analog scale (VAS) and opioid consumption are higher in this group of patients. Material and methods: Following the recommendations of the American Pain Society (APS), a new intra and postoperative analgesic protocol based on the use of ketamine was designed in 2018. Intraoperatively, a bolus of 0.5 mg/kg of ketamine was administered, followed by a dose infusion of 0.2 mg/kg/h until the surgical wound was closed. During the first 48 postoperative hours, a patient-controlled analgesia pump (PCA) of morphine-ketamine was maintained along with a multimodal analgesia regimen with paracetamol and dexketoprofen. An effectiveness analysis comparing the new protocol (ketamine group) with the previous one (control group), based on the use of tramadol 100 mg / 6h or PCA morphine, was done. During the first 48 postoperative hours, NVS records, need of rescue analgesia, morphine bolus or continuous morphine infusion (control group) or ketamine morphine infusion (ketamine group) were analyzed. Results: The patients in the ketamine group had lower NVS records than those in the control group during the first two postoperative hours (p = 0.001) and lower morphine rescues needs on the second postoperative day (p = 0.003). The need for continuous morphine-ketamine perfusion was significantly lower than the need for continuous morphine perfusion on the control group (p = 0.011). Conclusion: The protocol based on the use of ketamine, managed to improve the control of postoperative pain and significantly reduce the consumption of opioids in the first 48 hours after the intervention.
引言:最近接受脊椎手术的慢性阿片类药物患者数量有所增加。在这组患者中,视觉模拟评分(VAS)和阿片类药物消耗的提升记录更高。材料和方法:根据美国疼痛学会(APS)的建议,2018年设计了一种基于氯胺酮使用的新的术中和术后镇痛方案。术中,给药0.5mg/kg的氯胺酮,然后输注0.2mg/kg/h的剂量,直到手术伤口闭合。术后前48小时,维持吗啡-氯胺酮患者自控镇痛泵(PCA)以及对乙酰氨基酚和右酮洛芬的多模式镇痛方案。基于曲马多100 mg/6h或PCA吗啡的使用,对新方案(氯胺酮组)与前一方案(对照组)进行了有效性分析。术后前48小时,分析NVS记录、抢救镇痛需要、吗啡推注或持续输注吗啡(对照组)或氯胺酮-吗啡输注(氯胺酮组)。结果:氯胺酮组患者在术后前两小时的NVS记录低于对照组(p=0.001),术后第二天的吗啡抢救需求较低(p=0.003)。持续吗啡-氯胺酮灌注的需求显著低于对照组持续吗啡灌注的需求(p=0.011)。结论:该方案基于氯胺酮的使用,在干预后的前48小时内改善了对术后疼痛的控制,并显著减少了阿片类药物的消耗。
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引用次数: 0
Utilidad o necesidad de la ketamina en el dolor postoperatorio 氯胺酮在术后疼痛中的使用或需要
Q4 Medicine Pub Date : 2021-04-01 DOI: 10.20986/RESED.2021.3921/2021
M. M. M. Monerris Tabasco
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引用次数: 0
Seguimiento fisioterápico a lo largo de 14 meses a niño con síndrome de Sandifer Sandifer综合征患儿14个月的物理治疗随访
Q4 Medicine Pub Date : 2020-10-01 DOI: 10.20986/resed.2020.3816/2020
Maria Marqu�s Castell
Introduction: The Sandifer's Syndrome was described in 1964 by the neurologist Paul Sandifer when detected a disorder of the upper gastrointestinal tract that generated gastroesophageal reflux disease, especially in new-borns and children. It tends to present with esophagitis, iron deficiency anemia and paroxysmal postural movements. These symptoms are related with the ingestion and they use to remit during the sleep. This syndrome generates to the child a psychomotor delay and, therefore, the Early Care is essential to detect and to identify all the signs early; always focusing on the process of learning and consolidation of psychomotor achievements. Thus, the treatment consists of stimulating the child trough the active game to get the psychomotor progression, working on perceptual and sensory changes, and avoiding pain during the intervention. Case report: 8-month-old lactating child with psycmotor delay referred to Early Care from Hospital. The baby presents neck hyperextension, cervicoaxial hypotonia, rejection of the prone position, opisthotonus in supine position and sporadic regurgitations. The child can not move neither maintains the sedestation. Furthermore, he does not hit toys; he has good contact but does not point out objects and does not emit disyllables. Comments: After fourteen months of Early Care (Physiotherapy), the toddler can up and down the stairs grabbed to the railing with one hand and he gets up from the ground practically alone. He can make more complex lace with dominance of the right hand. The toddler understands concepts of permanence and of action-reaction; and he repeats many words and emits more than ten words spontaneously. The family collaboration by applying the recommended patterns has been a key piece in the treatment. The guidelines applied in various settings facilitated the achievement of motor skills and the consolidation of stages.
1964年,神经学家Paul Sandifer发现了一种上胃肠道疾病,可产生胃食管反流病,尤其是在新生儿和儿童中,他描述了Sandifer综合征。它往往表现为食管炎、缺铁性贫血和阵发性体位运动。这些症状与摄入有关,通常在睡眠期间缓解。这种综合征会导致儿童精神运动迟缓,因此,早期护理对早期发现和识别所有症状至关重要;始终注重学习过程中精神运动成果的巩固。因此,治疗包括通过积极的游戏刺激儿童以获得精神运动进展,致力于感知和感觉的变化,以及在干预期间避免疼痛。病例报告:8个月大的哺乳期儿童精神运动迟缓转至医院早期护理。婴儿表现为颈部过伸,颈轴肌张力低下,拒绝俯卧位,仰卧位的斜拉肌和散发性反流。这孩子不能动,也不能维持镇静。此外,他不打玩具;他有良好的接触能力,但不会指出物体,也不会发出双音。点评:经过14个月的早期护理(物理治疗),这个蹒跚学步的孩子可以单手抓住栏杆上下楼梯,他几乎可以独自从地上爬起来。他可以用右手的优势做出更复杂的花边。幼儿理解永恒和行动-反应的概念;他重复了很多单词,自发地说出了十多个单词。通过应用推荐模式的家庭合作是治疗中的关键部分。在各种环境中应用的指导方针促进了运动技能的实现和阶段的巩固。
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引用次数: 1
Eficacia de las perfusiones de lidocaína en la fibromialgia: estudio prospectivo de cohorte 利多卡因灌注治疗纤维肌痛的疗效:前瞻性队列研究
Q4 Medicine Pub Date : 2020-10-01 DOI: 10.20986/resed.2020.3796/2020
M Verd, H. Ribera, C. Sansaloni, MJ de Vicente, MM Truyols
espanolRESUMEN Introduccion: La fibromialgia se define como un sindrome de dolor cronico benigno caracterizado por dolor generalizado, fatiga, alteracion del sueno, ansiedad y depresion, y en muchas ocasiones una respuesta al tratamiento insuficiente y frustrante que obliga a la comunidad medica a un esfuerzo continuo en la busqueda de un tratamiento optimo. Hemos evaluado el efecto de la lidocaina intravenosa en perfusion sobre las diferentes caracteristicas de la fibromialgia. Metodos: Despues de la aprobacion del comite de etica de nuestro hospital y el consentimiento informado de cada paciente, se incluyeron 62 pacientes con criterio de fibromialgia segun la American College of Rheumatology. Se realizaron perfusion de lidocaina a dosis creciente desde 2 mg/kg hasta 5 mg/kg durante 10 dias. En todos los casos se rellenaron los siguientes cuestionarios en el dia 0 (pretratamiento), dia 10 (postratamiento) dia 30 y dia 90: Health Survey SF-12 (SF-12), Fibromyalgia Impact Questionnaire (FIQ), Brief Pain Inventory (BPI), Big Five Inventory (BFI), Beck Depression Inventory II (BDI-II), Medical Outcomes Sleep Scale (MOS), Patient Improvement Expectations (EXPEC). Resultados: De los 62 pacientes, 9 abandonaron el estudio por efectos adversos intolerables y 5 se perdieron o no completaron los cuestionarios en los siguientes meses. Finalmente completaron el estudio 48 pacientes, 46 mujeres y 2 hombres con una edad media de 55 (36-70) anos. Encontramos una mejoria en los cuestionarios BPI, BFI y BDI-II en el dia 10 que no se mantienen a los 30 dias. Discusion: En nuestro estudio el tratamiento con perfusiones de lidocaina en pacientes con fibromialgia objetivo una buena eficacia inicial que no se mantuvo con el paso del tiempo. EnglishABSTRACT Introduction: Fibromyalgia is defined as a pain syndrome characterized by generalized chronic pain, fatigue, sleep disturbances, anxiety and depression and, at times, an insufficient and frustrating treatment response. It is a benign condition chronically suffered by many patients, which forces the medical community on an ongoing search for an optimal treatment. We evaluated the effect of intravenous lidocaine on the different characteristics of fibromyalgia. Method: This is a prospective, longitudinal study. We recorded data for 48 patients diagnosed with fibromyalgia syndrome according with the American College of Rheumatology criteria (ACR 1990). Patients with abnormal electrocardiogram or abnormal blood electrolytes were excluded. Included cases received an increasing dose of 2 mg/kg up until 5 mg/kg of an intravenous lidocaine perfusion during 10 days. All included cases filled the following questionnaires at day 0 (pre-treatment), day 10 (post-treatment) day 30 and day 90: Health Survey SF-12 (SF-12), Fibromyalgia Impact Questionnaire (FIQ), Brief Pain Inventory (BPI), Big Five Inventory (BFI), Beck Depression Inventory II (BDI-II), Medical Outcomes Sleep Scale (MOS), Patient Improvement Expectations (EXPEC)
espanolRESUMEN简介:fibromialgia被定义为一个痛苦的sindrome cronico良性的普遍特点是疼痛、疲劳、alteracion梦想,渴望和“多次治疗反应不足并迫使的医学社会不断努力搜索optimo治疗。我们评估了静脉输注利多卡因对纤维肌痛不同特征的影响。方法:经我院伦理委员会批准并经每位患者知情同意后,根据美国风湿病学会的数据,纳入62例纤维肌痛患者。利多卡因输注剂量从2mg /kg增加到5mg /kg,持续10天。在所有情况下被回填,于是0以下问卷(预处理),一天10(后处理)一天30和90天:健康调查SF-12 (SF-12 Fibromyalgia Impact问卷(FIQ)、概要Pain清单》(清算),大五清单》(BFI),贝克forgotten清单》II (BDI-II)、医学战果Sleep Scale (772, Patient改进Expectations (EXPEC)。结果:在62例患者中,9例因无法忍受的不良反应而退出研究,5例在接下来的几个月里丢失或未完成问卷。最后,48例患者完成了研究,其中女性46例,男性2例,平均年龄55岁(36-70岁)。我们发现BPI、BFI和BDI-II问卷在第10天有改善,但在第30天没有保留。在我们的研究中,利多卡因灌注治疗纤维肌痛症患者的目标是良好的初始疗效,但随着时间的推移没有维持。纤维肌痛被定义为一种以全身性慢性疼痛、疲劳、睡眠障碍、焦虑和抑郁为特征的疼痛综合征,有时是一种治疗反应不足和令人沮丧的综合征。这是许多病人长期遭受的一种健康状况,迫使医学界不断寻求最佳治疗。我们评估了静脉注射利多卡因对纤维肌痛不同特性的影响。方法:这是一项前瞻性的纵向研究。我们记录了48名根据美国风湿病学会标准(ACR 1990)诊断为纤维肌痛综合征的患者的数据。不包括异常心电图或异常血电解质患者。包括在10天内静脉注射利多卡因,剂量从2mg /kg增加到5mg /kg。All the cases所列满了调查表at day 0 (pre-treatment) day day 30天90:10 (post-treatment)健康调查SF-12 (SF-12), Fibromyalgia Impact问卷(FIQ概要Pain清单》(清算)、大五清单》(BFI),贝克forgotten清单》II (BDI-II)、医学战果Sleep Scale (772, Patient改进Expectations (EXPEC)。结果:有记录病例48例,女性46例,男性2例,平均年龄55岁(36-70岁)。我们发现10天的疼痛、疲劳和心理态度有所改善,30天就消失了。讨论:静脉注射这些剂量的利多卡因对这组患者的治疗并没有以一种持续的方式改变纤维肌痛的临床特征。
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引用次数: 1
Determinantes de género en el abordaje del dolor crónico. 慢性疼痛治疗中的性别决定因素。
Q4 Medicine Pub Date : 2020-08-01 DOI: 10.20986/resed.2020.3802/2020
E. Solano, M. Gómez, R. Algarra, R. Aguirre, M. C. Verdecho
The 20th century has been an exceptional witness to the great advances and findings in the neurophysiological understanding and the multidisciplinary treatment of chronic pain. However, interest in the different form of expression in the painful perception between men and women and the specific psychological and social determinants associated with gender roles are relatively recent. In this article, an unsystematic review of the psychological and social differential determinants is carried out following the Neuromatrix model. Finally, the knowledge of those biases that we professionals have involuntarily is crucial to address the avoidable inequalities in treatment and the recovery of the health of men and women. Finally, recommendations are offered from the field of Clinical Psychology.
20世纪是一个非凡的见证,在神经生理学的理解和慢性疼痛的多学科治疗方面取得了巨大的进步和发现。然而,对男性和女性之间痛苦感知的不同表达形式以及与性别角色相关的特定心理和社会决定因素的兴趣相对较近。在这篇文章中,对心理和社会差异决定因素的非系统回顾是按照神经基质模型进行的。最后,了解我们这些专业人员不自觉地存在的偏见,对于解决可避免的待遇不平等和恢复男女健康至关重要。最后,从临床心理学的角度提出了建议。
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引用次数: 4
期刊
Revista de la Sociedad Espanola del Dolor
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