疼痛诊疗在现代医院中的地位与作用.pptVIP

.*2.皮质激素应用(1).地塞米松,(0.75mgqd/bid,---急性期痛,(2).得宝松(针剂)5+2mg--长效---3-4周,.*3.神经病理性痛治疗/药物各种原因致痛,未及时控制,持续时间长可发生病理性神经痛;最多见于中枢或外周神经损伤或病毒后发生.病理性神经痛:三叉神经痛带状疱疹及疱疹后神经痛幻肢痛,截瘫痛,糖尿病神经痛中风后神经痛……...*药物:1.加巴贲丁(gabapentin)2.乐瑞卡(普瑞巴林,Pregabaline)3.神经妥乐平,.*.*.*痛觉放大(Figure2.Thedevelopmentofaspreadingsecondaryhyperalgesiaintheminutes(labels)followingacutaneousinjurywithdryice(hatchedcentralarea).(AdaptedfromLewis4.(FieldsH.Pain:MechanismsandManag