Landmann G, Chang E-C, Dumat W, Lutz A, Müller R, Scheel-Sailer A, Schwerzmann K, Sigajew N, Ljutow A
Zentrum für Schmerzmedizin, Schweizer Paraplegiker-Zentrum, 6207, Nottwil, Guido-A.-Zäch-Str. 1, Schweiz.
Wenckebach-Klinikum, Klinik für Psychiatrie, Psychotherapie und Psychosomatik, Berlin, Deutschland.
Schmerz. 2017 Oct;31(5):527-545. doi: 10.1007/s00482-017-0250-x.
Chronic pain is one of the most reported health problems in patients suffering from spinal cord injuries and is described by the patients as one of the most burdensome sequelae of paraplegia. Various types of pain, such as nociceptive, neuropathic and other types of pain can occur. In addition, multiple pathophysiological mechanisms based on the biopsychosocial pain model play a role in the origins of the pain. These aspects necessitate a multimodal pain management approach in this patient group. This article presents an overview of the occurrence, importance and pathophysiology of chronic pain following spinal cord injury as well as diagnostic and therapeutic approaches.
慢性疼痛是脊髓损伤患者中报告最多的健康问题之一,患者将其描述为截瘫最沉重的后遗症之一。可能会出现各种类型的疼痛,如伤害性疼痛、神经性疼痛和其他类型的疼痛。此外,基于生物心理社会疼痛模型的多种病理生理机制在疼痛的起源中起作用。这些方面使得对该患者群体需要采取多模式疼痛管理方法。本文概述了脊髓损伤后慢性疼痛的发生、重要性和病理生理学以及诊断和治疗方法。