复杂性区域疼痛综合征中患侧与健侧肢体的温差。
Temperature difference between the affected and unaffected limbs in complex regional pain syndrome.
机构信息
Division of Musculoskeletal & Interventional Pain Management, Department of Anesthesiology, Critical Care & Pain Management, Hospital for Special Surgery, New York, NY 10021, USA.
Department of Anesthesiology, Weill Cornell Medicine, New York, NY 10021, USA.
出版信息
Pain Manag. 2024 Jun 2;14(5-6):293-303. doi: 10.1080/17581869.2024.2377950. Epub 2024 Aug 8.
Complex regional pain syndrome (CRPS) is classified into two subtypes based on clinical presentation: warm or cold. We examined the distribution of warm and cold subtypes in CRPS patients before they received lumbar sympathetic block. We retrospectively analyzed 81 prelumbar sympathetic block Forward Looking InfraRed images obtained from 30 patients to study temperature asymmetry between affected and unaffected limbs. In 23 of the 30 patients (77%), the temperature difference between the affected and affected limbs was within the normal range (<0.6°C difference). Of the remaining seven cases, six (20%) were diagnosed with cold-CRPS and one (3%) with warm-CRPS. During subsequent interventions, 74% of the patients maintained a temperature difference within the normal range (<0.6°C difference). Retrospective analysis of Forward Looking InfraRed thermal camera images in CRPS patients showed that 77% of patients did not exhibit significant temperature asymmetry (<0.6°C difference) between affected and unaffected limbs.
复杂性区域疼痛综合征（CRPS）根据临床表现分为两种亚型：温热型或寒冷型。我们在接受腰椎交感神经阻滞前检查了 CRPS 患者中温热型和寒冷型的分布情况。我们回顾性分析了 30 例患者的 81 例腰椎交感神经阻滞前正向远红外图像，以研究受累和未受累肢体之间的温度不对称性。在 30 例患者中的 23 例（77％）中，受累和未受累肢体之间的温差在正常范围内（<0.6°C 差异）。在其余七例中，六例（20％）被诊断为寒冷型 CRPS，一例（3％）为温热型 CRPS。在随后的干预中，74％的患者温差保持在正常范围内（<0.6°C 差异）。对 CRPS 患者正向远红外热像仪图像的回顾性分析显示，77％的患者受累和未受累肢体之间没有明显的温度不对称性（<0.6°C 差异）。
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