Avtor/Urednik		Margić, Krunoslav; Pirc, Jelka
Naslov		Kontinuirana senzorna analgezija olajša diferencialno diagnozo in zdravljenje kompleksnega regionalnega bolečinskega sindroma (CRPS/Sudeck)
Prevedeni naslov		Continuous sensory analgesia helps the differential diagnosis and the treatment of complex regional pain syndrome (CRPS/RSD)
Tip		članek
Vir		Zdrav Vestn
Vol. in št.		Letnik 70, št. 11
Leto izdaje		2001
Obseg		str. 671-3
Jezik		slo
Abstrakt		Background. CRPS/RSD still offers more questions then answers. The initial events and pathophysiology are unknown; the treatment is unsuccessful and the results are poor The authors have transmitted their experiences with continuous sensory analgesia of brachial plexus in the treatment of heavy injured hands to the treatment of CRPS. Efficient analgesia, control of vegetative nerve system and painless exercises are of outmost importance in the treatment of CRPS. Patients and methods. From 1996 to 1998 we have used continuous sensory analgesia in the treatment of 8 patients with CRPS of the upper extremity. All of them were treated few months after injury. Results. Two to four years after treatment six of eight have been ranged as good result (only temporary pain judged on subjective pain scale as 2; ROM of wrist higher than 50% of normal, lack of 30% of ROM of fingers; hand and key grip greater than 50% of normal hand).
Izvleček		Izhodišča. Kompleksni regionalni bolečinski sindrom (CRPS/Sudeckova bolezen) še vedno ponuja več vprašanj kot odgovorov. Vzrok ni poznan, patofiziologija je nejasna, zdravljenje neuspešno. Izkušnje s kontinuirano senzorno analgezijo brahialnega pleteža pri zdravljenju bolnikov po težkih poškodbah roke sta avtorja prenesla v zdravljenje CRPS. Učinkovita analgezija, izključitev funkcije vegetativnega živčnega sistema in intenzivno razgibavanje je tudi cilj zdravljenja CRPS. Bolniki in metode. V letih 1996-1998 sta avtorja s kontinuirano senzorno analgezijo zdravila osem bolnikov, ki so po IASP (International Association for Study of the Pain) izpolnili merila za diagnozo CRPS zgornjih okončin. Terapijo smo začeli zgodaj, v prvih mesecih po poškodbi. Rezultati. Šest od osem bolnikov smo dve do štiri leta po zdravljenju ocenili kot dober rezultat (le občasne bolečine; ocenjene po subjektivni analgetični skali do 2; gibljivost zapestja nad 50% gibljivosti zdrave roke, skupni deficit ekstenzije in, fleksije prstov do 30% in moč grobega prijema nad 50% moči zdrave roke).
Deskriptorji		REFLEX SYMPATHETIC DYSTROPHY BRACHIAL PLEXUS ANALGESIA AUTONOMIC NERVE BLOCK