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首页> 外文期刊>The American journal of hospice and palliative care >Management of hiccups in the palliative care population.
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Management of hiccups in the palliative care population.

机译：姑息治疗人群中打h的管理。

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There are close to a hundred causes for hiccups, or singultus, the most common of which are gastrointestinal. Causes may be natural or drug induced, and the same agents that are used to treat hiccups may also induce them. Hiccups can be classified by their duration, as follows: up to 48 hours, acute; longer than 48 hours, persistent; and more than two months, intractable. Treatment options for hiccups can include both pharmacologic and nonpharmacologic agents. If the cause of hiccups can be identified, it is, of course, preferable to direct the treatment at that cause. However many times a cause cannot be identified; in this case, general measures or treatments should be instituted. Intractable hiccups can occur in the palliative care population. When they do, it can be extremely distressing and have a significant impact on quality of life. Pharmacologic approaches are often the most rational therapies for these patients. Baclofen seems to be a promising drug for use with both palliative care and perioperative patients, and using garabentin as an add-on to baclofen may also be a reasonable option to consider
机译：出现打，或腹股沟的原因有近百种，其中最常见的是胃肠道。原因可能是自然原因，也可能是药物引起的，用于治疗打ic的药剂也可能引起这些原因。打ic可以根据其持续时间进行分类，如下所示：长达48小时，急性;超过48小时，持续存在;两个多月来，很棘手。打h的治疗选择可以包括药物和非药物制剂。如果可以确定出现打ic的原因，那么最好直接针对该原因进行治疗。但是，很多时候都无法查明原因。在这种情况下，应采取一般措施或治疗。姑息治疗人群可能会出现顽固的打h。当他们这样做时，可能会非常痛苦，并对生活质量产生重大影响。对于这些患者，药理学方法通常是最合理的疗法。巴氯芬似乎是用于姑息治疗和围手术期患者的有前途的药物，使用加拉宾汀作为巴氯芬的附加药物可能也是考虑的合理选择

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