Viel E, Ripart J, Pelissier J, Eledjam J J
Department of Anesthesia, University Hospital, Nîmes, France.
Ann Med Interne (Paris). 1999 Apr;150(3):205-10.
Reflex sympathetic dystrophy (RSD) is currently defined as CRPS type I (complex regional pain syndrome). Due to the lack of comprehensive understanding of underlying pathophysiological mechanisms, a wide variety of therapeutic approaches are proposed, all of them being of unpredictable and variable efficacy. This is also due to the lack of controlled studies and randomized therapeutic trials. Most of the so-called "efficient" treatments are in fact based on anecdotal case reports and/or uncontrolled studies with small number of cases. Sympathetic blocks and active physiotherapy are, for many authors, the cornerstones of the efficient management. The role of prevention must be strongly emphasized, focusing, if RSD occurs following surgery, on the importance of pre- and postoperative efficient analgesia.
反射性交感神经营养不良（RSD）目前被定义为I型复杂性区域疼痛综合征（CRPS）。由于对潜在病理生理机制缺乏全面了解，人们提出了各种各样的治疗方法，但其疗效均不可预测且变化不定。这也是由于缺乏对照研究和随机治疗试验。大多数所谓的“有效”治疗实际上是基于轶事性病例报告和/或病例数较少的非对照研究。对许多作者来说，交感神经阻滞和主动物理治疗是有效管理的基石。必须大力强调预防的作用，如果RSD在手术后发生，要注重术前和术后有效镇痛的重要性。
