Hussain Aziza Muhammad, Khan Mansoor A
Department of Anaesthesia, North Tees and Hartlepool NHS Trust, United Kingdom.
J Coll Physicians Surg Pak. 2012 Apr;22(4):246-7.
Pain is experienced by people suffering from spinal cord injury leading to disability and affecting the person's functional ability, independence, psychological well - being, ability to return to work and quality of life. Pain management in these patients is notoriously difficult due to multiple factors and varied mechanism leading to pain. Only few treatments have been assessed in randomized, controlled trials and management is based on different case reports. We are reporting our experience of managing 2 patients with neuropathic pain following traumatic spinal cord injury. Both the patients were refractory to conventional pain medications but there was significant reduction in pain following lignocaine infusion in the first patient and with ketamine in the second patient.
脊髓损伤患者会经历疼痛，这会导致残疾，并影响患者的功能能力、独立性、心理健康、重返工作岗位的能力和生活质量。由于导致疼痛的多种因素和不同机制，这些患者的疼痛管理非常困难。只有少数治疗方法在随机对照试验中得到评估，治疗是基于不同的病例报告。我们报告了我们对2例创伤性脊髓损伤后神经性疼痛患者的治疗经验。两名患者对传统止痛药均无效，但第一例患者在输注利多卡因后疼痛显著减轻，第二例患者在使用氯胺酮后疼痛显著减轻。
