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脑诱发电位作为诊断神经性疼痛的一种工具。

Brain-evoked potentials as a tool for diagnosing neuropathic pain.

作者信息

Pazzaglia Costanza, Valeriani Massimiliano

机构信息

Institute of Neurology, Università Cattolica, Rome, Italy.

出版信息

Expert Rev Neurother. 2009 May;9(5):759-71. doi: 10.1586/ern.09.16.

Abstract

Neuropathic pain is a complex subject, not completely understood yet, and it is quite common in clinical practice, even outside of a neurological context. Neuropathic pain, often being a chronic process, alters and profoundly affects the quality of life. Therefore, the management of neuropathic pain involves a multidimensional approach, as physicians have to take care not only of the objective aspects of the problem, but also of the subjective experiences of pain. This explains why the attainment of a diagnosis becomes so important, as it allows clinicians to treat the patients with the best therapeutic approach. Several studies report the use of brain-evoked potentials for studying patients suffering from neuropathic pain. In particular, laser- and contact heat-evoked potentials have proved useful for the diagnosis of clinical conditions characterized by neuropathic pain. However, although these tools are reliable and safe instruments to assess function of the nociceptive system, their use is still largely confined to research purposes.

摘要

神经病理性疼痛是一个复杂的课题,目前尚未完全被理解,并且在临床实践中相当常见,甚至在非神经科背景下也是如此。神经病理性疼痛通常是一个慢性过程,会改变并深刻影响生活质量。因此,神经病理性疼痛的管理需要采取多维度方法,因为医生不仅要关注问题的客观方面,还要关注疼痛的主观体验。这就解释了为什么做出诊断如此重要,因为它能让临床医生采用最佳治疗方法来治疗患者。多项研究报告了使用脑诱发电位来研究患有神经病理性疼痛的患者。特别是,激光诱发电位和接触热诱发电位已被证明对诊断以神经病理性疼痛为特征的临床病症有用。然而,尽管这些工具是评估伤害性感受系统功能的可靠且安全的仪器,但它们的使用在很大程度上仍局限于研究目的。

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