国际麻醉学与复苏杂志   2018, Issue (9): 0-0
    
躯体形式疼痛障碍与伴疼痛症状的抑郁障碍病例报道及分析
程祝强, 金毅, 朱红梅1()
1.解放军南京总医院
Analysis of somatoform pain disorder and depressive disorder with pain symptoms
 全文:
摘要:

慢性疼痛症状一般为躯体器质性病变所致,也可在非器质性病变时出现,可能是一种功能性疾病的症状或是由精神因素或心理障碍造成。在临床工作中,常见以典型的疼痛症状为主诉,未见器质性病变,同时伴随或未伴随明显的情绪变化的患者。随着近年来我国疼痛学科的发展,这部分患者往往首诊于疼痛科,但该病表现独特,容易造成误诊。躯体形式疼痛障碍(somatoform pain disorder, SPD)和伴疼痛症状的抑郁障碍(depression disorder with pain symptoms, DDPS)在此类疼痛病例中占有较大比例。因此,通过两个典型的病例回顾,探讨患者以疼痛为主要临床症状与精神因素密切相关的慢性疼痛,帮助疼痛科医师提高对本病认识及临床诊疗。

关键词: 躯体形式疼痛障碍;伴疼痛症状的抑郁障碍;非器质性病变;精神;心理
Abstract:

Symptoms of chronic pain are usually caused by organic lesions and can also occur in non-organic lesion diseases. It could be a symptom of a functional disease or a mental disorder. In clinic, patients with typical pain symptoms who are usually complained of pain but no organic lesions may also have emotional disturbance. With the development of pain medicine in recent years, patients with chronic pain are likely to visit pain department, but their diseases could be difficult and challenging. Somatoform pain disorder (SPD) and depressive disorder (DDPS) with pain symptoms are common. Therefore, by reviewing two typical cases of SPD and DDPS, help pain-medicine practitioners to improve their understanding and diagnosis of these diseases.

Key words: Somatoform pain disorder; Depression disorder with pain symptoms; Non-organic lesions; Mental; Psychology