上肢神经损伤患者的神经性疼痛。
Neuropathic pain in patients with upper-extremity nerve injury.
作者信息
Novak Christine B, Katz Joel
机构信息
Christine B. Novak, BScPT, MSc, PhD(c): Institute of Medical Sciences, University of Toronto, Toronto, Ontario.
出版信息
Physiother Can. 2010 Summer;62(3):190-201. doi: 10.3138/physio.62.3.190. Epub 2010 Jul 23.
PURPOSE
The purpose of this review was to present an analysis of the literature of the outcome studies reported in patients following traumatic upper-extremity (UE) nerve injuries (excluding amputation), to assess the presence of an association between neuropathic pain and outcome in patients following traumatic UE nerve injuries, and to provide recommendations for inclusion of more comprehensive outcome measures by clinicians who treat these patients.
SUMMARY OF KEY POINTS
A Medline and CINAHL literature search retrieved 48 articles. This review identified very few studies of patients with peripheral nerve injury that reported neuropathic pain. When pain was reported, visual analogue or numeric rating scales were most frequently used; standardized questionnaires measuring pain or psychosocial function were rarely administered. Recent evidence shows substantial long-term disability and pain in patients following peripheral nerve injury.
RECOMMENDATION
To better understand neuropathic pain in patients following peripheral nerve injury, future outcome studies should include valid, reliable measures of physical impairment, pain, disability, health-related quality of life, and psychosocial functioning.
目的
本综述的目的是对创伤性上肢（UE）神经损伤（不包括截肢）患者的结局研究文献进行分析，评估创伤性UE神经损伤患者神经病理性疼痛与结局之间的关联，并为治疗这些患者的临床医生纳入更全面的结局测量指标提供建议。
关键点总结
通过对Medline和CINAHL文献检索，共检索到48篇文章。本综述发现，很少有关于周围神经损伤患者且报告了神经病理性疼痛的研究。当报告疼痛时，最常使用视觉模拟评分或数字评分量表；很少使用测量疼痛或心理社会功能的标准化问卷。最近的证据表明，周围神经损伤患者存在严重的长期残疾和疼痛。
建议
为了更好地了解周围神经损伤患者的神经病理性疼痛，未来的结局研究应包括对身体损伤、疼痛、残疾、健康相关生活质量和心理社会功能的有效、可靠测量指标。
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