Cavenagh J, Good P, Ravenscroft P
Department of Palliative Care, Mater Misericordiae Hospital, Newcastle, New South Wales, Australia.
Intern Med J. 2006 Apr;36(4):251-5. doi: 10.1111/j.1445-5994.2006.01046.x.
Patients suffering from neuropathic pain continue to pose challenges in clinical practice. This descriptive review discusses the continuing debate on the definition and concerns about increasing incidence of neuropathic pain. The clinical features of neuropathic pain are outlined, and the current understanding of the possible mechanisms of neuropathic pain is highlighted. Current management strategies are reviewed, and future advances in our understanding of the mechanisms, accurate clinical diagnosis and more effective treatment strategies are eagerly awaited.
患有神经性疼痛的患者在临床实践中仍然是一大挑战。这篇描述性综述讨论了关于神经性疼痛定义的持续争论以及对其发病率上升的担忧。文中概述了神经性疼痛的临床特征,并着重介绍了目前对神经性疼痛可能机制的理解。回顾了当前的管理策略,人们热切期待在对其机制的理解、准确的临床诊断以及更有效的治疗策略方面取得进一步进展。