神经性疼痛的诊断和评估  

Diagnosis and assessment of neuropathic pain

作　　者：沈永锋[1,2] 俞文华[2] 杜权[2] 王鼎[2] 

机构地区：[1]杭州市肿瘤医院神经外科,浙江杭州310002 [2]杭州市第一人民医院神经外科,浙江杭州310006

出　　处：《中国现代医生》2016年第18期164-168,共5页China Modern Doctor

基　　金：浙江省科技计划项目(2013C33092)

摘　　要：神经性疼痛其实就是中枢或者外周神经系统出现原发性病变或者功能障碍所导致的一种疼痛综合征,一般由疾病与外伤致脊髓后根、末梢神经与中枢神经某部位损伤所致。依照神经损伤病因、程度与性质差异性,临床将神经性疼痛划分为外周神经损伤所致周围神经疼痛与中枢神经疼痛两种,其中中枢神经疼痛是中枢神经系统疼痛传导通路出现功能障碍或者损害所导致的一种原发性疼痛,在脑血管疾病与脊髓创伤中较为常见。周围神经疼痛是缺血、外伤、炎症、感染以及压迫等原因损伤外周神经导致,如多发性神经炎、幻肢痛、糖尿病性周围神经痛以及带状疱疹后神经痛等。该研究主要对神经性疼痛的诊断与评估作一综述。Neuropathic pain is actually the central or peripheral nervous system pain emergence of a primary lesion or dysfunction syndrome caused after the general trauma caused by the disease and spinal root, peripheral nerve and cen- tral nervous system damage caused by a site. In accordance with nerve damage causes, extent and nature of differences, can be divided into clinical neuropathic pain of peripheral nerve injury pain caused two kinds of peripheral nerve pain and central nervous system, the central nervous system in which the central nervous system pain is pain pathway dys- function or damage a primary cause of pain, in cerebrovascular disease and spinal cord trauma is common. Peripheral nerve pain is ischemia, trauma, inflammation, infection and compression of peripheral nerve damage and other factors lead to, say, multiple neuritis, phantom limb pain, diabetic peripheral neuropathy and post-herpetic neuralgia. The study on the diagnosis and assessment of neuropathic pain are reviewed.

关 键 词：神经性疼痛 中枢神经 诊断 评估 

分 类 号：R453[医药卫生—治疗学]