摘要
三叉神经痛(trigeminal neuralgia)是一种常见的慢性疼痛,女性多见。常反复发作,呈刺痛样。目前三叉神经痛的诊断主要依靠病史,诊断率仍偏低。对于三叉神经痛的治疗,除了应用卡马西平等药物治疗外,微血管减压术等手术治疗也常用于三叉神经痛的治疗。因为三叉神经痛常导致患者负性情绪如抑郁焦虑的发生,而抑郁焦虑也能从多个方面影响三叉神经痛的预后,所以针对抑郁焦虑与三叉神经痛的相关性也进行了大量研究,本文即从三叉神经痛和抑郁焦虑的相关性和干预措施方面结合国内外的文献作一综述。对于三叉神经痛合并抑郁焦虑患者的治疗,除了积极应用药物及手术方式治疗三叉神经痛外,针对抑郁焦虑症状的治疗和干预如药物治疗和心理干预也是必要的,从而改善三叉神经痛患者的预后。
Trigeminal neuralgia is a common chronic pain, more commonly seen in women. It is often recurrent and occur with sting pain. The diagnosis of trigeminal neuralgia mainly relies on history, and the diagnosis rate still remains low. For the treatment of trigeminal neuralgia, in addition to the application of carbamazepine and other drugs, microvascular decompression and other surgical treatment are also commonly used in the treatment of trigeminal neuralgia. Because trigeminal neuralgia often leads to negative emotions such as depression and anxiety in patients, and the depression and anxiety can also affect the prognosis of trigeminal neuralgia from many aspects, therefore, a great number of studies on the correlation between the depression and anxiety and trigeminal neuralgia have been performed.This article, combined with domestic and foreign literature, makes a review from the aspect of the correlation between trigeminal neuralgia and depression and anxiety as well as intervention measures. For the treatment of trigeminal neuralgia combined with depression and anxiety, in addition to active application of drugs and surgical treatment of trigeminal neuralgia, the treatment of depression and anxiety symptoms and interventions such as drug therapy and psychological intervention are also necessary to improve the prognosis of trigeminal neuralgia.
出处
《中国现代医生》
2016年第32期162-164,168,共4页
China Modern Doctor
关键词
三叉神经痛
抑郁
焦虑
治疗
Trigeminal neuralgia
Depression
Anxiety
Treatment
