Manejo clínico da dor crônica: uma revisão atualizada das estratégias de tratamento
DOI:
https://doi.org/10.34119/bjhrv6n4-413Keywords:
chronic pain, pharmacological interventions, non-pharmacological interventions, combinations of treatments, pain managementAbstract
Esta revisão atualizada busca sintetizar as estratégias de tratamento mais recentes para o manejo clínico da dor crônica, um problema que afeta significativamente a qualidade de vida de milhões de pessoas em todo o mundo. Apresentamos a eficácia e as limitações de várias abordagens de tratamento, incluindo intervenções farmacológicas, não farmacológicas e combinações de tratamentos. As intervenções farmacológicas, apesar de eficazes, estão associadas a efeitos colaterais significativos e, no caso dos opioides, ao risco de dependência. As intervenções não farmacológicas, como terapias cognitivo-comportamentais, fisioterapia e abordagens baseadas em mindfulness, têm se mostrado eficazes e são especialmente úteis para pacientes que não respondem bem ao tratamento farmacológico. O uso combinado dessas abordagens tem mostrado promessa, com alguns estudos sugerindo que os benefícios podem ser maiores do que os alcançados com uma única intervenção. No entanto, são necessárias mais pesquisas para determinar as melhores combinações de tratamentos para diferentes tipos de dor crônica. Os futuros estudos deveriam focar em designs de pesquisa rigorosos, amostras maiores e estudos de longo prazo.References
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