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管理神经性疼痛。

Managing Neuropathic Pain.

作者信息

Jones Robert Carter Wellford, Lawson Erin, Backonja Miroslav

机构信息

Center for Pain Medicine, Department of Anesthesiology, Division of Pain Medicine, University of California San Diego, 9444 Medical Center Drive, MC 7651, La Jolla, CA 92093, USA.

Center for Pain Medicine, Department of Anesthesiology, Division of Pain Medicine, University of California San Diego, 9444 Medical Center Drive, MC 7651, La Jolla, CA 92093, USA; Lexington Brain and Spine Institute, 811 West Main Street, Suite 201, Lexington, SC 29072, USA.

出版信息

Med Clin North Am. 2016 Jan;100(1):151-67. doi: 10.1016/j.mcna.2015.08.009. Epub 2015 Oct 28.

DOI:10.1016/j.mcna.2015.08.009
PMID:26614725
Abstract

Neuropathic pain (NP) arises from injuries or diseases affecting the somatosensory component of the nervous system at any level of the peripheral or central nervous system. NP is diagnosed based on common neurologic signs and symptoms. NP is best treated with a combination of multiple therapeutic approaches, and treatments include conservative, complementary, medical, interventional, and surgical treatment modalities. Goals of treatment are the same as in pain management and include improvement in pain control and in coping skills as well as restoration of functional status. Most patients with NP benefit most from an individualized, multimodal approach that emphasizes both pain and function.

摘要

神经病理性疼痛(NP)源于影响外周或中枢神经系统任何水平的神经系统体感成分的损伤或疾病。NP根据常见的神经体征和症状进行诊断。NP最好采用多种治疗方法联合治疗,治疗方法包括保守治疗、辅助治疗、药物治疗、介入治疗和手术治疗方式。治疗目标与疼痛管理相同,包括改善疼痛控制和应对技巧以及恢复功能状态。大多数NP患者从强调疼痛和功能的个体化多模式方法中获益最大。

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