신경병증성 통증의 치료 지침에 대한 고찰

Title
신경병증성 통증의 치료 지침에 대한 고찰
Other Titles
A Treatment Guideline for Neuropathic Pain
Author(s)
안면환정국진[정국진]이재협[이재협]황창주[황창주]
Keywords
신경병증성 통증; 정의; 진단; 치료 지침; Neuropathic pain; Definition; Diagnosis; Treatment guideline
Issue Date
201112
Publisher
대한척추외과학회
Citation
대한척추외과학회지, v.18, no.4, pp.246 - 253
Abstract
Study Design: A review of literature including definition, diagnosis and treatment of neuropathic pain. Objectives: To review and discuss the treatment guideline for neuropathic pain. Summary of Literature Review: Neuropathic pains are characterized by partial or complete somatosensory change caused by various disorders affecting central and peripheral nervous system, and are especially problematic because of their severity, chronicity and resistance to simple analgesics. Materials and Methods: Review of literature. Results: Tricyclic antidepressants and the anticonvulsants gabapentin and pregablin were recommended as first-line treatments for neuropathic pain. Opioid analgesics and tramadol were recommended as second-line treatments that can be considered for first-line use in selected clinical circumstances. Other medications such as dual reuptake inhibitors of both serotonin and norepinephrine would be used in severe cases. More invasive interventions (e.g., spinal cord stimulation) may sometimes be helpful. Conclusions: Treatment must be individualized for each patient and aggressive, combinatory pharmacotherapy and multidisciplinary approach are recommended for the treatment of neuropathic pain.
URI
http://hdl.handle.net/YU.REPOSITORY/23967
ISSN
2093-4378
Appears in Collections:
의과대학 > 정형외과학교실 > Articles
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