臨床整形外科51巻3号

2016年03月発行

整形外科/知ってるつもり

痛みの可視化と疼痛緩和に必要なリエゾン治療の実際

著者： 林和寛¹² 池本竜則¹³ 牛田享宏¹³

所属機関： ¹愛知医科大学学際的痛みセンター ²名古屋大学医学部附属病院リハビリテーション科 ³愛知医科大学運動療育センター

ページ範囲：P.260 - P.268

はじめに

　痛みは不快な感覚・情動経験であり，侵害刺激に起因するだけではなく，認知・情動的側面が影響を及ぼすことが知られている．多様な要因がかかわる「痛み」を客観的にとらえるために，脳内神経活動を用いた評価の試みが行われている．本稿では，痛みにかかわる脳内神経活動の知見を紹介するとともに，痛みを遷延させる認知・情動的要因の評価と介入方策を概説し，患者の痛みにかかわる問題を解決するための一助としたい．

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