Ingold O
Schulthess-Klinik, Zürich.
Praxis (Bern 1994). 1998 Feb 11;87(7):232-7.
In a pain clinic team the anesthetist has the knowledge and experience concerning the peripheral and central neural blockades. The value of the diagnostic, prognostic and therapeutic blockades is today under discussion. Patients with a chronic regional pain syndrome (CRPS) can find some relief with a series of somatic and sympatholytic blockades, which allow an aggressive physiotherapy. Epidural steroid injections are helpful in radiculopathic pain. In other types of pain (neuropathic, postherpetic, failed back surgery syndrome, abdominal, cervico-cephalgic, phantom limb pain und tumor pain) the spinal cord stimulation (SCS) and the intrathecal morphine pump are approved methods for intactable pain.
在疼痛诊疗团队中,麻醉医生具备有关外周和中枢神经阻滞的知识与经验。如今,诊断性、预后性和治疗性阻滞的价值正处于讨论之中。患有慢性区域疼痛综合征(CRPS)的患者可通过一系列躯体和交感神经阻滞获得一定缓解,这有助于积极开展物理治疗。硬膜外类固醇注射对神经根性疼痛有帮助。在其他类型的疼痛(神经性疼痛、疱疹后神经痛、腰椎手术后失败综合征、腹部疼痛、颈源性头痛、幻肢痛及肿瘤疼痛)中,脊髓刺激(SCS)和鞘内吗啡泵是治疗顽固性疼痛的获批方法。