中华皮肤科杂志 ›› 2019, Vol. 52 ›› Issue (7): 510-514.doi: 10.3760/cma.j.issn.0412-4030.2019.07.016

• 继续医学教育 • 上一篇    

下肢痛性溃疡诊疗进展

卢旭亚,徐强,李品川,张朝晖   

  1. 天津中医药大学第二附属医院中医外科  300250
  • 收稿日期:2018-08-29 修回日期:2019-05-06 出版日期:2019-07-15 发布日期:2019-07-01
  • 通讯作者: 张朝晖 E-mail:zzh45@aliyun.com
  • 基金资助:
    国家自然科学基金(81573972、81273759)

Diagnosis and treatment of painful leg ulcers

Lu Xuya, Xu Qiang, Li Pinchuan, Zhang Zhaohui   

  1. Department of Traditional Chinese Medicine Surgery, Second Affiliated Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin 300250, China
  • Received:2018-08-29 Revised:2019-05-06 Online:2019-07-15 Published:2019-07-01
  • Contact: Zhang Zhaohui E-mail:zzh45@aliyun.com
  • Supported by:
    National Natural Science Foundation of China(81573972、81273759)

摘要: 【摘要】 临床中下肢溃疡伴疼痛情况非常普遍,如动脉性溃疡、静脉性溃疡、自身免疫系统疾病相关溃疡、坏疽性脓皮病和高血压性溃疡等均可形成下肢痛性溃疡。目前国内对于下肢痛性溃疡的研究报道较少,仅将疼痛作为下肢溃疡的一种伴发症状进行处理,国外则开展了一系列下肢痛性溃疡的相关研究。本文阐述下肢痛性溃疡的定义、流行病学特点、疼痛机制、疼痛评估方法、病因、治疗等。

关键词: 腿溃疡, 疼痛, 疼痛管理, 治疗

Abstract: 【Abstract】 Painful leg ulcers are very common in clinic, including arterial ulcers, venous ulcers, autoimmune diseases-related ulcers, gangrenous pyoderma, necrobiosis lipoidica and hypertensive ulcers. At present, few painful leg ulcer-related researches have been conducted in China, and pain is only treated as a concomitant symptom of leg ulcers. However, a series of painful leg ulcer-related researches have been carried out in other countries. This review comprehensively expounds the definition, epidemiological characteristics, etiology and management of, as well as pain mechanism and assessment in painful leg ulcers.

Key words: Leg ulcer, Pain, Pain management, Therapy