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首页> 外文期刊>BMJ: British medical journal >Complex regional pain syndrome medicalises limb pain
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Complex regional pain syndrome medicalises limb pain

机译:复杂的区域疼痛综合征医疗肢体疼痛

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I am a psychiatrist who has worked in general hospitals and pain clinics since the 1970s and have assessed many patients given a diagnosis of type 1 complex regional pain syndrome (CRPS). The syndrome is often diagnosed by inexperienced junior doctors when confronted by patients with unexplained symptoms, especially pain in the hands and feet. CRPS was once called algodystrophy, then reflex sympathetic dystrophy, but by 1994 the sympathetic component was abandoned and the current term was introduced. CRPS is part of a larger problem in chronic pain and reflects our lack of knowledge of causal mechanisms. It has been my impression that increasing numbers of patients are being diagnosed with this disorder, and that incidence rates are increasing (estimates in 2007 of 50000 new cases annually in USA).2 In my opinion excessive reliance on this so called biomedical diagnosis for these patients is misguided. How has this occurred?
机译:我是一名精神科医生,自1970年代以来一直在普通医院和疼痛诊所工作,并评估了许多患者的诊断为1型复杂区域疼痛综合征(CRPS)。 综合征通常是由缺乏经验的初级医生诊断出的,当时患有无法解释的症状的患者,尤其是手脚疼痛。 CRP曾经被称为藻类营养不良,然后被称为反射交感神经营养不良,但到1994年,交感分量被放弃并引入了当前术语。 CRP是慢性疼痛中更大问题的一部分,反映了我们缺乏因果机制的知识。 我的印象是,越来越多的患者被诊断出患有这种疾病,并且发病率正在增加(2007年在美国每年50000例新病例中估计).2我认为,过度依赖这种所谓的生物医学诊断 患者被误导了。 这是怎么发生的?

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