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疼痛见于心力衰竭(心衰)的任何时期,其发生率随心功能分级的加重而增加。疼痛可以在多个部位出现,常为重度疼痛。疼痛发生及止痛药物的滥用均与心衰恶化及再入院率明显相关。心衰指南不推荐使用非甾体类抗炎药或糖皮质激素来缓解疼痛。因此,如何做好心衰患者伴疼痛的治疗及宣教至关重要。该文对心衰患者伴疼痛的发生及进展做一综述。
Pain occurs in any period of heart failure (heart failure) and its incidence increases with an increase in cardiac function. Pain can appear in multiple parts, often severe pain. Pain and the abuse of painkillers were significantly associated with worsening heart failure and readmission rates. Heart failure guidelines are not recommended to use non-steroidal anti-inflammatory drugs or glucocorticoids to relieve pain. Therefore, how to do a good job in patients with heart failure and pain treatment and mission is crucial. This article reviews the occurrence and progression of pain in patients with heart failure.