在青少年中治疗CRPS和FNSD:一个案例研究
William S Frye1, Giovanni Cucchiaro2, Kym Householder3
1Johns Hopkins All Children's Hospital, St. Petersburg, United States. Wfrye1@jhmi.edu.
Journal of clinical psychology in medical settings
|February 14, 2026
概括
外围神经导管与跨学科治疗相结合,有效地解决了复杂区域疼痛综合征 (CRPS) 症状. 然而,功能神经症状障碍 (FNSD) 需要随后的心理治疗,以持续控制症状和功能恢复.
科学领域:
- 疼痛医学 医学 疼痛医学
- 神经学 神经学
- 精神病学是一个精神病学.
背景情况:
- 复杂区域性疼痛综合征 (CRPS) 是一种使人虚弱的疼痛障碍.
- 功能神经症状障碍 (FNSD) 可以与CRPS同时发生.
- 治疗并发性CRPS和FNSD的疗效尚未得到充分证实.
研究的目的:
- 描述一个15岁的女性患有并发性CRPS和FNSD的第一个病例,用外围神经导管 (PNC) 和跨学科治疗治疗.
- 检查PNC增强跨学科治疗和随后的心理治疗的短期和长期影响.
主要方法:
- 一名15岁的女性患有并发性CRPS和FNSD,接受了PNC增强型跨学科疼痛计划.
- 在该计划之后,患者接受了门诊心理治疗.
- 对CRPS和FNSD症状和整体功能进行了评估.
主要成果:
- 经PNC增强的跨学科治疗导致CRPS症状的缓解和初始FNSD的改善.
- 在出院后,FNSD症状复发,呈现不同.
- 随后的心理治疗减少了FNSD事件频率,改善了功能.
结论:
- 与PNC进行简短的跨学科治疗可能有利于CRPS,但对于长期FNSD管理是不够的.
- 心理治疗对于患有并发性CRPS和FNSD的患者的持续康复至关重要.
- 长期的跨学科或心理干预对于这些患者的功能恢复至关重要.
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