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复杂性区域疼痛综合征中皮肤乳酸增加:组织缺氧的证据?

Increased skin lactate in complex regional pain syndrome: evidence for tissue hypoxia?

作者信息

Birklein F, Weber M, Neundörfer B

机构信息

Neurologische Klinik, Friedrich-Alexander-Universität Erlangen, Germany.

出版信息

Neurology. 2000 Oct 24;55(8):1213-5. doi: 10.1212/wnl.55.8.1213.

DOI:10.1212/wnl.55.8.1213
PMID:11071503
Abstract

To investigate oxygen metabolism in complex regional pain syndrome (CRPS), the authors measured skin lactate via dermal microdialysis performed on patients with CRPS (n = 11) and healthy control subjects (n = 11). In addition, they measured blood lactate. Although venous lactate was unaltered, skin lactate was increased in patients with CRPS (2.95 mmol/L; control subjects 1.74 mmol/L; p < 0.005). These results suggest enhanced anaerobic glycolysis, probably as a result of chronic tissue hypoxia.

摘要

为研究复杂性区域疼痛综合征(CRPS)中的氧代谢情况,作者对11例CRPS患者和11例健康对照者进行了真皮微透析,测量其皮肤乳酸水平。此外,他们还测量了血乳酸水平。虽然静脉血乳酸水平未改变,但CRPS患者的皮肤乳酸水平升高(2.95 mmol/L;对照者为1.74 mmol/L;p < 0.005)。这些结果提示无氧糖酵解增强,可能是慢性组织缺氧的结果。

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