头颈部创伤后持续性疼痛的诊断与治疗
Diagnosis and treatment of persistent pain after trauma to the head and neck.
作者信息
Benoliel R, Eliav E, Elishoov H, Sharav Y
机构信息
Department of Oral Diagnosis, Oral Medicine, and Oral Radiology, Hebrew University, Hadassah School of Dental Medicine, Jerusalem, Israel.
出版信息
J Oral Maxillofac Surg. 1994 Nov;52(11):1138-47; discussion 1147-8. doi: 10.1016/0278-2391(94)90530-4.
PURPOSE
A retrospective and prospective study on 22 cases of persistent pain after trauma to the head and neck is presented. According to the predominant symptoms and signs, pain patterns could be divided into musculoskeletal, vascular, and neuropathic, facilitating treatment decisions. Most cases were musculoskeletal in origin, with many demonstrating a combination of two or three pain states.
RESULTS
The variety of pain complaints and their underlying pathophysiology are discussed and treatments for specific pain states are examined.
CONCLUSION
Amitriptyline was the most useful drug in that it provided pain relief in musculoskeletal, vascular, and some neuropathic pain conditions. Multidrug therapy may be indicated in some recalcitrant cases, and drug alternatives are discussed.
目的
对22例头颈部创伤后持续性疼痛进行回顾性和前瞻性研究。根据主要症状和体征，疼痛模式可分为肌肉骨骼性、血管性和神经性，这有助于做出治疗决策。大多数病例起源于肌肉骨骼系统，许多病例表现出两种或三种疼痛状态的组合。
结果
讨论了各种疼痛主诉及其潜在的病理生理学，并研究了特定疼痛状态的治疗方法。
结论
阿米替林是最有用的药物，因为它能缓解肌肉骨骼性、血管性和一些神经性疼痛。在一些难治性病例中可能需要多药联合治疗，并讨论了替代药物。
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