摘要
痛性糖尿病周围神经病变(painful diabetic peripheral neuropathy,PDPN)是糖尿病周围神经病变的常见表现,中重度自发性和诱发性疼痛严重影响病人生活质量。但目前仍存在诊断率低、治疗欠规范问题。为进一步优化PDPN的管理,中国研究型医院学会头痛与感觉障碍专业委员会联合全国各地神经科、疼痛科、老年科和内分泌科的专家,结合国内外相关指南及临床实践经验,制定本共识,对PDPN的流行病学、发病机制及危险因素、临床表现、诊断及鉴别诊断、治疗进行了详细的阐述。以期不断提升临床医师对PDPN的诊治能力,改善PDPN病人的生活质量。
Painful diabetic peripheral neuropathy(PDPN)is a common manifestation of diabetic peripheral neuropathy.Moderate to severe spontaneous and evoked pain significantly impairs patients'quality of life.However,challenges such as low diagnostic rates and substandard treatment practices persist.To further optimize the management of PDPN,the Headache and Sensory Disorders Committee of the Chinese Research Hospital Association brought together experts from neurology,pain medicine,geriatrics,and endocrinology across China.Integrating relevant international and domestic guidelines with clinical experience,this consensus has been developed.It provides a detailed elaboration on the epidemiology,pathogenesis,risk factors,clinical manifestations,diagnosis,differential diagnosis,and treatment of PDPN.The ultimate goal is to continuously enhance clinicians'capabilities in diagnosing and treating PDPN,thereby improving the quality of life for patients affected by this condition.
出处
《中国疼痛医学杂志》
北大核心
2025年第12期881-890,共10页
Chinese Journal of Pain Medicine
关键词
糖尿病
痛性糖尿病周围神经病变
诊断
治疗
专家共识
diabetes mellitus
painful diabetic peripheral neuropathy
diagnosis
therapy
expert consensus
