脑卒中后疼痛的诊疗进展  

Progress in the diagnosis and treatment of post‑stroke pain

作　　者：赵庆祥[1] 吴小娟[2] 王德强[1] 高勇[1] Zhao Qingxiang;Wu Xiaojuan;Wang Deqiang;Gao Yong(Department of Pain Medicine,the Affiliated Hospital of Binzhou Medical College,Binzhou 256603,China;Department of Statistics,the Affiliated Hospital of Binzhou Medical College,Binzhou 256603,China)

机构地区：[1]滨州医学院附属医院疼痛科,256603 [2]滨州医学院附属医院统计室,256603

出　　处：《国际麻醉学与复苏杂志》2020年第12期1201-1205,共5页International Journal of Anesthesiology and Resuscitation

摘　　要：约有70%的脑卒中患者每天忍受着疼痛,疼痛的持续存在不仅使患者无法有效配合功能康复训练,还严重影响着患者的生活质量。文章对脑卒中后疼痛(post⁃stroke pain,PSP)的常见类型、流行病学、发病机制进行简述,并对各类型PSP[卒中后肩痛(post⁃stroke shoulder pain,PSSP)、卒中后中枢痛(central post⁃stroke pain,CPSP)、痉挛性疼痛、复杂性区域疼痛综合征(complex regional pain syndrome,CRPS)和卒中后头痛]的诊断及治疗等方面进展进行综述。使临床医务工作者能更有效识别和治疗PSP。About 70%of stroke patients have to tolerate pain every day.As the pain continues,patients are unable to perform functional rehabilitation exercises,with poor quality of life.The current article briefly introduces post⁃stroke pain(PSP)from the as⁃pects of the common types,epidemiological feature,pathogenesis,diagnosis and treatment and reviews the progress in the diagnosis and treatment of different types of PSP,including post⁃stroke shoulder pain(PSSP),central post⁃stroke pain(CPSP),spasticity⁃related pain,complex regional pain syndrome(CRPS)and post⁃stroke headache.It will enable medical staff to identify and treat PSP in a more effective manner.

关 键 词：疼痛 脑卒中康复 肩痛 卒中后中枢痛 痉挛 复杂性区域疼痛综合征 头痛 

分 类 号：R743.3[医药卫生—神经病学与精神病学]