作者投稿
专家审稿
编辑办公
邮件订阅
RSS
-
-
表 1 儿童与成人神经病理性疼痛的临床表现及治疗比较
疾病类型 儿童及青少年 成人 Ⅰ型复杂性区域
疼痛综合征临床表现与成人类似，常不典型；治疗上参考成人的治
疗方案临床上以感觉神经、自主神经、运动神经功能异常为三联征；
采用药物、介入、心理等多学科的综合治疗幻肢痛 在儿童中发病率可能比成人更高；目前没有系统的治疗
方案，加巴喷丁被广泛应用出现在60%~80%截肢后患者中；治疗困难，多采用药物治疗、
物理治疗、局部阻滞与外科治疗联合外伤 小患儿中发病率低，大患儿中发病率与成人类似；在治
疗上参考成人的经验，尽早开始治疗发病率约10%~50%；采取药物治疗联合物理治疗、神经阻滞和
其他非手术及手术治疗方法格林-巴利综合征 常表现为患儿的首发症状，在约75%的患儿中出现；治疗
上可采取免疫球蛋白联合抗疼痛药物治疗支持治疗为主，免疫球蛋白或血浆置换治疗原发病，辅以药物、
物理、针灸等疗法治疗
下载: 导出CSV
-
[1] Berde CB, Lebel A. Complex regional pain syndromes in children and adolescents[J]. Anesthesiology, 2005, 102:252-255. doi: 10.1097/00000542-200502000-00003 [2] Berde CB, Jaksic T, Lynn AM, et al. Anesthesia and analgesia during and after surgery in neonates[J]. Clin Ther, 2005, 27:900-921. doi: 10.1016/j.clinthera.2005.06.020 [3] Burton AW, Fanciullo GJ, Beasley RD, et al. Chronic pain in the cancer survivor:a new frontier[J]. Pain Med, 2007, 8:189-198. doi: 10.1111/j.1526-4637.2006.00220.x [4] Walco GA, Dworkin RH, Krane EJ, et al. Neuropathic pain in children:special considerations[J]. Mayo Clin Proc, 2010, 85:S33-S41. doi: 10.4065/mcp.2009.0647 [5] Wilder RT. Management of pediatric patients with complex regional pain syndrome[J]. Clin J Pain, 2006, 22:443-448. doi: 10.1097/01.ajp.0000194283.59132.fb [6] Fitze G. Complex regional pain syndrome in children[J]. Unfallchirurg, 2011, 114:411-416. doi: 10.1007/s00113-011-1964-3 [7] Rusy LM, Troshynski TJ, Weisman SJ. Gabapentin in phantom limb pain management in children and young adults:report of seven cases[J]. J Pain Symptom Manage, 2001, 21:78-82. doi: 10.1016/S0885-3924(00)00243-8 [8] Sherman RA. Stump and phantom limb pain[J]. Neurol Clinics, 1989, 7:249-263. doi: 10.1016/S0733-8619(18)30812-0 [9] Krane EJ, Heller LB. The prevalence of phantom sensation and pain in pediatric amputees[J]. Int J Prev Med, 1995, 10:21-29. http://www.ncbi.nlm.nih.gov/pubmed/7714344?dopt=Abstract [10] Atherton DD, Taherzadeh O, Elliot D, et al. Age-dependent development of chronic neuropathic pain, allodynia and sensory recovery after upper limb nerve injury in children[J]. J Hand Surg Eur Vol, 2008, 33:186-191. doi: 10.1177/1753193408087029 [11] Korinthenberg R, Schessl J, Kirschner J. Clinical presentation and course of childhood Guillain-Barré syndrome:a prospective multicentre study[J]. Neuropediatrics, 2007, 38:10-17. doi: 10.1055/s-2007-981686 [12] Toto M, De GiacomoA, Petruzzelli MG, et al. Guillain-Barré-like syndrome in a child with lead poisoning[J].Neuropediatrics, 2012, 43:217-220. doi: 10.1055/s-0032-1321981 [13] Hopkin RJ, Bissler J, Banikazemi M, et al. Characterization of Fabry disease in 352 pediatric patients in the Fabry registry[J]. Pediatr Res, 2008, 64:550-555. doi: 10.1203/PDR.0b013e318183f132 [14] Borgwardt L, Feldt-Rasmussen U, Rasmussen AK, et al. Fabry disease in children:agalsidase-beta enzyme replacement therapy[J]. Clin Genet, 2013, 83:432-438. doi: 10.1111/j.1399-0004.2012.01947.x [15] Maillard SM, Davies K, Khubchandani R, et al. Reflex sympathetic dystrophy:a multidisciplinary approach[J]. Arthritis Rheum, 2004, 51:284-290. doi: 10.1002/art.20249 [16] Wilder RT. Management of pediatric patients with complex regional pain syndrome[J]. Clin J Pain, 2006, 22:443-448. doi: 10.1097/01.ajp.0000194283.59132.fb [17] Melzack R, Israel R, Lacroix R, et al. Phantom limbs in people with congenital limb deficiency or amputation in early childhood[J]. Brain, 1997, 120:1603-1620. doi: 10.1093/brain/120.9.1603 [18] Thomas CR, Brazeal BA, Rosenberg L, et al. Phantom limb pain in pediatric burn survivors[J]. Burns, 2003, 29:139-142. doi: 10.1016/S0305-4179(02)00281-4 [19] Wilkins KL, McGrath PJ, Finley GA, et al. Phantom limb sensations and phantom limb pain in child and adolescent amputees[J]. Pain, 1998, 78:7-12. doi: 10.1016/S0304-3959(98)00109-2 [20] Hall GC, Carroll D, Parry D, et al. Epidemiology and treatment of pain:the UK primary care perspective[J]. Pain, 2006, 122:156-162. doi: 10.1016/j.pain.2006.01.030 [21] McCann ME, Waters P, Goumnerova LC, et al. Self-mutilation in young children following brachial plexus birth injury[J]. Pain, 2004, 110:123-129. doi: 10.1016/j.pain.2004.03.020 [22] Eccleston C, Wastell S, Crombez G, et al. Adolescent social development chronic pain[J]. Eur J Pain, 2008, 12:765-774. doi: 10.1016/j.ejpain.2007.11.002 [23] Meier PM, Alexander ME, Sethna NF, et al. Complex regional pain syndromes in children and adolescents:regional and systemic signs and symptoms and hemodynamic response to tilt table testing[J]. Clin J Pain, 2006, 22:399-406. doi: 10.1097/01.ajp.0000192514.50955.d6 [24] Low AK, Ward K, Wines AP. Pediatric complex regional pain syndrome[J]. Pain Res Manag, 2007, 27:567-572. http://brain.oxfordjournals.org/lookup/external-ref?access_num=17585269&link_type=MED&atom=%2Fbrain%2F131%2F7%2F1854.atom [25] Rashiq S, Knight B, Ellsworth J. Treatment of reflex sympathetic dystrophy with EMLA cream[J]. Reg Anesth, 1994, 19:434-435. http://www.wanfangdata.com.cn/details/detail.do?_type=perio&id=WK_LWW2017052520534946 [26] Meier PM, Zurakowski D, Berde CB, et al. Lumbar sympathetic blockade in children with complex regional pain syndromes:a double blind placebo-controlled crossover trial[J]. Anesthesiology, 2009, 111:372-380. doi: 10.1097/ALN.0b013e3181aaea90 [27] Petje G, Radler C, Aigner N, et al. Treatment of reflex sympathetic dystrophy in children using a prostacyclin analog:preliminary results[J]. Clin Orthop Relat Res, 2005, 433:178-182. http://europepmc.org/abstract/MED/15805955 [28] Honjyo K, Hamasaki Y, Kita M, et al. An 11-year-old girl with reflex sympathetic dystrophy successfully treated by thoracoscopic sympathectomy[J]. Acta Paediatr, 1997, 86:903-905. [29] Olsson GL, Meyerson BA, Linderoth B. Spinal cord stimulation in adolescents with complex regional pain syndrome type Ⅰ (CRPS-I)[J]. Pain Med, 2008, 12:53-59. https://www.sciencedirect.com/science/article/pii/S1090380107000456 [30] Bach S, Noreng MF, Tjellden NU. Phantom limb pain in amputees during the first 12 months following limb amputation, after preoperative lumbar epidural blockade[J]. Pain, 1988, 33:297-301. doi: 10.1016/0304-3959(88)90288-6 [31] Kessel C, Worz R. Immediate response of phantom limb pain to calcitonin[J]. Pain, 1987, 30:79-87. doi: 10.1016/0304-3959(87)90085-6 [32] Brady RO. Fabry's disease[M]//Dyck PJ, Thomas PK, Griffin JW, Low PA, Poduslo JF, eds. Peripheral neuropathy. 3rd ed. Philadelphia: WB Saunders, 1993: 1169-1178. [33] Ries M, Mengel E, Kutschke G, et al. Use of gabapentin to reduce chronic neuropathic pain in Fabry disease[J]. J Inherit Metab Dis, 2003, 26:413-414. doi: 10.1023/A:1025127723729 -
点击查看大图
表(1)
计量
- 文章访问数: 123
- HTML全文浏览量: 13
- PDF下载量: 2
- 被引次数: 0
