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星状神经节阻滞成功缓解原因不明的慢性疼痛:病例报告。

Stellate ganglion block successfully relieved medically unexplained chronic pain: a case report.

机构信息

Department of Surgery and Anesthesia, The Third Affiliated Hospital of Sun Yat-sen University Yuedong Hospital, Guangdong, China.

出版信息

J Int Med Res. 2022 Mar;50(3):3000605221086735. doi: 10.1177/03000605221086735.

DOI:10.1177/03000605221086735
PMID:35301893
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8935417/
Abstract

Medically unexplained symptoms refers to a clinical syndrome characterized by somatic symptoms that cannot be reasonably explained by any organic disease. Chronic pain can be a type of medically unexplained symptom. The current treatment modalities for chronic pain mainly include drugs and psychotherapy. The use of stellate ganglion block for treatment of chronic pain has rarely been reported. Herein, we report a patient whose chronic pain was completely relieved after receiving a stellate ganglion block.

摘要

医学无法解释的症状是指一种以躯体症状为特征的临床综合征,这些症状不能被任何器质性疾病合理地解释。慢性疼痛可能是一种医学无法解释的症状。目前,慢性疼痛的治疗方法主要包括药物治疗和心理治疗。星状神经节阻滞治疗慢性疼痛的应用鲜有报道。本文报告了一例慢性疼痛患者,接受星状神经节阻滞治疗后疼痛完全缓解。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5ea3/8935417/1266342fc277/10.1177_03000605221086735-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5ea3/8935417/1266342fc277/10.1177_03000605221086735-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5ea3/8935417/1266342fc277/10.1177_03000605221086735-fig1.jpg

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本文引用的文献

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Patients' Perspectives on the Usability of a Blended Approach to an Integrated Intervention for Patients With Medically Unexplained Physical Symptoms: Mixed Methods Study.患者对综合干预中混合方法用于治疗有医学无法解释的躯体症状患者的可接受性的看法:混合方法研究。
J Med Internet Res. 2021 Sep 28;23(9):e19794. doi: 10.2196/19794.
2
The 'medically unexplained symptoms' syndrome concept and the cognitive-behavioural treatment model.“医学无法解释的症状”综合征概念和认知行为治疗模式。
J Health Psychol. 2022 Jan;27(1):3-8. doi: 10.1177/13591053211038042. Epub 2021 Sep 23.
3
Stellate ganglion block used to treat reversible cerebral vasoconstriction syndrome.
星状神经节阻滞用于治疗可逆性脑血管收缩综合征。
Reg Anesth Pain Med. 2021 Aug;46(8):732-734. doi: 10.1136/rapm-2021-102675. Epub 2021 Apr 19.
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Interventional Modalities to Treat Complex Regional Pain Syndrome.介入治疗复杂区域疼痛综合征。
Curr Pain Headache Rep. 2021 Feb 3;25(2):10. doi: 10.1007/s11916-020-00904-5.
5
Medically unexplained symptoms: assessment and management.无法用医学解释的症状:评估与管理。
Clin Med (Lond). 2021 Jan;21(1):13-18. doi: 10.7861/clinmed.2020-0947.
6
Treatment of multiple physiological and psychological disorders in one patient with stellate ganglion block: a case report.经星状神经节阻滞治疗一位患者的多种生理和心理障碍:病例报告。
J Int Med Res. 2021 Jan;49(1):300060520985645. doi: 10.1177/0300060520985645.
7
Ultrasound-guided stellate ganglion block alleviates stress responses and promotes recovery of gastrointestinal function in patients.超声引导下星状神经节阻滞缓解患者应激反应并促进胃肠功能恢复。
Dig Liver Dis. 2021 May;53(5):581-586. doi: 10.1016/j.dld.2020.11.028. Epub 2020 Dec 8.
8
Effect of Stellate Ganglion Block Treatment on Posttraumatic Stress Disorder Symptoms: A Randomized Clinical Trial.星状神经节阻滞治疗对创伤后应激障碍症状的影响:一项随机临床试验。
JAMA Psychiatry. 2020 Feb 1;77(2):130-138. doi: 10.1001/jamapsychiatry.2019.3474.
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A successful case of stellate ganglion block for difficult therapy of refractory tension headache.星状神经节阻滞治疗难治性紧张性头痛困难病例的成功案例。
J Clin Anesth. 2019 May;54:149. doi: 10.1016/j.jclinane.2018.12.007. Epub 2018 Dec 12.
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What is the problem with medically unexplained symptoms for GPs? A meta-synthesis of qualitative studies.全科医生面临的医学上无法解释的症状问题是什么?一项定性研究的元综合分析。
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