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首页> 外文期刊>Current opinion in anaesthesiology >Advances in treatment of complex regional pain syndrome: recent insights on a perplexing disease.
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Advances in treatment of complex regional pain syndrome: recent insights on a perplexing disease.

机译:复杂的区域性疼痛综合征的治疗进展:对一种复杂疾病的最新见解。

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摘要

PURPOSE OF REVIEW: The paper is a critical appraisal of recent advances in the treatment of complex regional pain syndrome. Rapidly changing concepts related to the pathophysiology of this disease has transformed its current management and necessitates an updated review of the literature. RECENT FINDINGS: Chronic regional pain syndrome is a perplexing disease that continues to challenge researchers with respect to its cause and treatment. Recent modification to diagnostic criteria has enabled clinicians to diagnose this disease in a more consistent fashion. Emerging data indicate a possible role of inflammation in the overall pathophysiology and have led to treatment trials with newer anti-inflammatory medications. Certain 'conventional' interventional techniques have been recently scrutinized. A few novel therapeutic options like graded imagery are also outlined. SUMMARY: Enhanced insight into the pathophysiology of chronic regional pain syndrome has modified current clinical practice and the focus ofresearch. Certain 'standard' therapeutic options for chronic regional pain syndrome have failed the test of time while others have prevailed. New options have recently been evaluated and have shown promising early results. Knowledge of recent advances in chronic regional pain syndrome will help pain physicians provide optimal care to these patients.
机译:审查的目的:本文是对复杂区域疼痛综合征治疗的最新进展的重要评价。与该疾病的病理生理学相关的观念日新月异,改变了其目前的管理方式,因此有必要对文献进行更新审查。最近的发现:慢性区域性疼痛综合征是一种令人困惑的疾病,在其病因和治疗方面继续挑战着研究人员。最近对诊断标准的修改使临床医生能够以更一致的方式诊断这种疾病。新兴数据表明炎症在整体病理生理中可能发挥作用,并已导致使用新型抗炎药物进行治疗试验。最近已经对某些“常规”干预技术进行了审查。还概述了一些新颖的治疗选择,例如渐变图像。摘要:对慢性区域性疼痛综合征的病理生理学的深入了解改变了当前的临床实践和研究的重点。某些针对慢性区域性疼痛综合征的“标准”治疗选择未能通过时间的考验,而另一些则更为流行。最近对新的选项进行了评估,并显示了令人鼓舞的早期结果。了解慢性局部疼痛综合征的最新进展将有助于疼痛医生为这些患者提供最佳护理。

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