Bossi L, Conoscente F, Pellerin I, Foresio R
Pain Relief Unit, Legnano Hospital, Italy.
Funct Neurol. 1989 Apr-Jun;4(2):157-60.
Treatment of reflex sympathetic dystrophies involves early reduction of the nociceptive input, transient interruption of the sympathetic activity, modulation of central mechanisms of pain control, prevention of neurotrophic changes and treatment of associated behavioural problems. The fundamental steps are early control of pain by means of local anesthetic blocks and antiinflammatory agents followed by sympathetic blocks, physical therapy, transcutaneous electrical stimulation and supportive psychotherapy. The results obtained are not always satisfactory and about 40% of the patients is not susceptible to cure. The best results are obtained when treatment is started early.
反射性交感神经营养不良的治疗包括早期减少伤害性输入、短暂中断交感神经活动、调节疼痛控制的中枢机制、预防神经营养变化以及治疗相关的行为问题。基本步骤是通过局部麻醉阻滞和抗炎药物早期控制疼痛，随后进行交感神经阻滞、物理治疗、经皮电刺激和支持性心理治疗。所获得的结果并不总是令人满意的，约40%的患者不易治愈。早期开始治疗可获得最佳效果。
