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病例报告:阿托莫克西丁可以改善伴随伴发性创伤后应激障碍和注意力缺陷多动性障碍的慢性疼痛
Satoshi Kasahara1,2, Miwako Takahashi3, Taito Morita1
1Department of Anesthesiology and Pain Relief Center, The University of Tokyo Hospital, Tokyo, Japan.
Frontiers in psychiatry
|August 23, 2023
概括
阿托莫克西丁 (ATX) 有效地治疗了患有慢性疼痛,创伤后应激障碍 (PTSD) 和并发性注意力缺陷多动性障碍 (ADHD) 的患者. 治疗改善了疼痛,生活质量和脑血流,突出了ATX作为复杂病例的潜在治疗方法.
科学领域:
- 神经科学是一个神经科学.
- 精神病学是一个精神病学.
- 药理学 药理学是指药理学的学科.
背景情况:
- 慢性疼痛经常与创伤和创伤后应激障碍 (PTSD) 一起发生,使治疗复杂化.
- 注意缺陷多动症 (ADHD) 与较高的创伤发生率和PTSD发展有关.
- 阿托莫克西丁 (ATX) 是一种ADHD治疗方法,对PTSD有前途,但其在并发性慢性疼痛,PTSD和ADHD中的有效性尚未被探索.
研究的目的:
- 报告患有伴随PTSD和ADHD治疗ATX的慢性疼痛病例.
- 为了评估ATX对慢性疼痛,PTSD症状和脑血流的影响.
- 评估ATX作为治疗这种复杂的并发症的潜力.
主要方法:
- 一名56岁的女性患者患有慢性疼痛和PTSD,接受了针对ADHD的积极查.
- 该患者接受了阿托莫克赛丁 (ATX) 的治疗.
- 评估包括疼痛水平,生活质量,焦虑,抑郁,灾难性想法和脑血流.
主要成果:
- 在患有慢性疼痛和PTSD的患者中诊断出并发性ADHD.
- 治疗ATX导致疼痛,生活质量,焦虑,抑郁和灾难性想法显著改善.
- 在ATX治疗后,大脑血流也出现了改善,使患者能够恢复工作.
结论:
- 慢性疼痛,PTSD和ADHD可能是并发性疾病.
- 在这种情况下,ATX在改善慢性疼痛,PTSD症状和脑血流方面表现出有效性.
- 早期的ADHD查对于选择合并疾病的最佳治疗是至关重要的,ATX是潜在的治疗选择.
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