在周围神经受伤后集中疼痛的诊断标准:系统性审查
Floris V Raasveld1,2,3, Maxime R A Tiems2,4, Benjamin R Johnston5
1Division of Plastic and Reconstructive Surgery, Department of Surgery.
The Clinical journal of pain
|September 22, 2025
概括
本系统性审查提出了外围神经损伤 (PNI) 后集中性疼痛的新诊断标准. 这些以证据为基础的标准旨在改善患有这种使人衰弱的疾病的患者的识别和治疗.
科学领域:
- 神经学 神经学
- 疼痛医学 医学 疼痛医学
- 临床诊断 临床诊断 临床诊断
背景情况:
- 周围神经损伤 (PNI) 可以导致神经病和集中性疼痛,显著影响生活质量.
- 目前对于PNI后集中性疼痛的诊断标准定义不佳,这阻碍了有效的患者管理.
- 为了解决这种诊断缺口,进行了系统审查.
研究的目的:
- 系统地评估当前对外围神经损伤后集中性疼痛的诊断方法.
- 为临床诊断PNI后集中性疼痛提出基于证据的标准.
主要方法:
- 在主要的生物医学数据库 (MEDLINE,Embase,Web of Science,CENTRAL) 进行了全面的系统搜索.
- 包括专注于诊断方法,临床特征和PNI后集中疼痛迹象的研究.
- 排除标准包括急性疼痛,儿科患者和非英语文章.
主要成果:
- 综合包括了28项涉及6189名患者的研究.
- 建议的诊断标准包括:记录PNI,神经病痛超过3个月,超出损伤区域的过敏,情绪/认知障碍以及对神经阻塞的有限反应.
- 这些标准综合了临床特征和诊断标记的证据.
结论:
- 提出了一个全面的,基于证据的诊断框架,用于PNI后集中疼痛.
- 该框架整合了临床标准和可选的诊断测试,以实现实际应用.
- 诊断标准化旨在改善患者的识别,并指导适当的治疗选择.
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