《中国康复理论与实践》

《中国康复理论与实践》 ›› 2010, Vol. 16 ›› Issue (8): 733-735.

• 论文 • 上一篇    下一篇

多发性硬化性疼痛发生的病因及治疗

周衡，张星虎   

  1. 首都医科大学附属北京天坛医院神经内科，北京市 100050
  • 收稿日期:2010-07-27 修回日期:1900-01-01 出版日期:2010-08-25 发布日期:2010-08-25
  • 通讯作者: 张星虎

Analysis and Treatment in Multiple Sclerosis with Pain Symptom

HOU Heng，ZHANG Xing-hu   

  1. The Department of Neurology, Beijing Tiantan Hospital, Capital Medical University, Beijing 100050, China
  • Received:2010-07-27 Revised:1900-01-01 Published:2010-08-25 Online:2010-08-25

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被引次数

3

摘要： 目的探讨多发性硬化患者疼痛发生的病因及治疗对策。方法回顾性分析1999年1月～2009年12月收治的362例伴有疼痛症状的多发性硬化患者的临床资料，并进行归纳总结。结果多种病因可以引起多发性硬化患者出现疼痛症状，在急性疼痛中，Lhermitte征和急性神经根痛的发生率较高，而在慢性疼痛中，较常见的是感觉缺失性疼痛和痛性痉挛。经个体化的镇痛治疗，大部分患者的疼痛症状可以得到缓解。结论综合分析、正确识别多发性硬化患者疼痛症状，及时给予个体化治疗，有助于改善患者预后，提高生活质量。

关键词: 多发性硬化, 疼痛症状, 治疗

Abstract: ObjectiveTo explore the diagnosis and treatment in multiple sclerosis with pain symptom.MethodsThe clinical data of 362 patients suffered from multiple sclerosis with pain symptom from January 1999 to December 2009 were analyzed retrospectively.ResultsPain symptom could result from different causes. Acute radicular pain and Lhermitte's sign were common in the acute pain syndromes as dysaesthetic extremity pain and painful spasticity in chronic pain syndromes. Individual therapy of selected cases showed a benefit of decreased pain symptom.ConclusionPain is a common clinical symptom of multiple sclerosis. Individualized therapeutic decisions could relieve symptom and improve outcome.

Key words: multiple sclerosis, pain symptom, treatment