Marks David M, Newhouse Amy
Departments of Psychiatry and Community and Family Medicine, Duke University Medical Center, Durham, North Carolina.
Departments of Psychiatry and Internal Medicine, Duke University Medical Center, Durham, North Carolina.
Prim Care Companion CNS Disord. 2015 Sep 17;17(5). doi: 10.4088/PCC.15br01804. eCollection 2015.
Fibromyalgia is a painful disorder with no curative treatments, and available medications typically provide partial relief of pain. Reported here is the effective use of serial intravenous lidocaine infusions for the chronic management of 3 patients with fibromyalgia. The details of the infusion procedure are described, and relevant literature is reviewed. Lidocaine infusions should be considered in fibromyalgia patients who are refractory to other treatments, and a positive response to 1 infusion may justify repeated infusions for chronic management.
纤维肌痛是一种无法治愈的疼痛性疾病,现有的药物通常只能部分缓解疼痛。本文报道了连续静脉输注利多卡因对3例纤维肌痛患者进行慢性治疗的有效应用。文中描述了输注过程的细节,并对相关文献进行了综述。对于其他治疗无效的纤维肌痛患者,应考虑使用利多卡因输注,单次输注产生的阳性反应可能为慢性治疗的重复输注提供依据。