文章摘要
汪琴,刘宏亮,武继祥,尹清,余洪俊.综合疗法治疗脊髓损伤后中枢性疼痛[J].中华物理医学与康复杂志,2003,(6):。-
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综合疗法治疗脊髓损伤后中枢性疼痛
  
DOI:
中文关键词: 脊髓损伤  中枢性疼痛  抑郁障碍
英文关键词: Spinal cord injury  Central pain  Depression
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作者单位
汪琴,刘宏亮,武继祥,尹清,余洪俊 400038重庆第三军医大学西南医院康复医学科 
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中文摘要:
      目的探讨综合疗法治疗脊髓损伤后中枢性疼痛的效果。 方法对11例脊髓损伤后中枢性疼痛患者采用药物(阿米替林和卡马西平)、心理支持及物理疗法进行治疗。用简式McGill疼痛问卷、ZUNG抑郁状态自评量表于治疗前、后对患者中枢性疼痛及抑郁状态进行评定。 结果治疗后患者疼痛的6项参数值均有显著降低(P<0.01),抑郁评分与治疗前相比也有显著降低(P<0.01)。 结论综合疗法治疗脊髓损伤后中枢性疼痛是切实有效的,并初步探讨了其作用的可能机制。
英文摘要:
      Objective To explore the effects of the combined drug and other therapeutic interventions on the central pain of patients with spinal cord injury. MethodsEleven cases of spinal cord injury with central pain were treated with drugs (amitriptyline and carbamazepine) in conjunction with psychological support and massage therapy, and the effects were assessed using McGill Pain Questionnaire (MPQ) and Self-Rating Depression Scale (SDS). ResultsThe values of 6 parameters of pain are highly significantly decreased in patients after treatment(P<0.01). There was a significant decrease of SDS scores in patients after treatment(P<0.01). ConclusionIt is practical and effective to treat the central pain in patients with spinal cord injury with combined drug and other therapeutic interventions.
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