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复杂性区域疼痛综合征

Complex Regional Pain Syndrome.

作者信息

Giostri Giana Silveira, Souza Camila Deneka Arantes

机构信息

Serviço de Ensino e Treinamento em Cirurgia da Mão, Hospital Cajuru/PUCPR, Curitiba, PR, Brasil.

Hospital Pequeno Príncipe, Curitiba, PR, Brasil.

出版信息

Rev Bras Ortop (Sao Paulo). 2024 Apr 22;59(4):e497-e503. doi: 10.1055/s-0044-1779331. eCollection 2024 Aug.

Abstract

Complex Regional Pain Syndrome is characterized by regional pain that is disproportionate to the triggering event, with no distribution to dermatomes, a tendency towards chronicity, and dysfunction. This narrative review proposes an update of criteria for diagnosis and management of the syndrome, providing information on epidemiology, etiology, and pathophysiology. We base our information on systematic and narrative reviews, as well as guidelines published in recent years, aiming to facilitate diagnostic suspicion and provide a broad overview of therapeutic possibilities.

摘要

复杂性区域疼痛综合征的特征是局部疼痛与触发事件不成比例,不累及皮节,有慢性化倾向且伴有功能障碍。本叙述性综述提出了该综合征诊断和管理标准的更新内容,提供了关于流行病学、病因学和病理生理学的信息。我们依据近年来发表的系统综述、叙述性综述以及指南来获取信息,旨在促进诊断怀疑并提供治疗可能性的广泛概述。

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本文引用的文献

1
The sensorimotor theory of pathological pain revisited.病理性疼痛的感觉运动理论再探。
Neurosci Biobehav Rev. 2022 Aug;139:104735. doi: 10.1016/j.neubiorev.2022.104735. Epub 2022 Jun 12.
6
Complex Regional Pain Syndrome.复杂性区域疼痛综合征。
Clin Plast Surg. 2020 Apr;47(2):305-310. doi: 10.1016/j.cps.2019.12.009. Epub 2020 Jan 31.
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Complex regional pain syndrome - False hopes and miscommunications.复杂性区域疼痛综合征——虚假的希望和沟通不畅。
Autoimmun Rev. 2019 Mar;18(3):270-278. doi: 10.1016/j.autrev.2018.10.003. Epub 2019 Jan 11.

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