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NTIS 바로가기구강회복응용과학지 = Journal of dental rehabilitation and applied science, v.27 no.3, 2011년, pp.327 - 336
이지수 (연세대학교 치과대학 구강내과학교실) , 송지희 (연세대학교 치과대학 구강내과학교실) , 김영건 (연세대학교 치과대학 구강내과학교실) , 김성택 (연세대학교 치과대학 구강내과학교실)
Reported causes of mandibular nerve injury in relation to neuropathic pain in dentistry include extraction, dental implant surgery, oral and maxillofacial surgery, periodontal treatment, and root-canal therapy. This study analyzed the characteristics of pharmacologic management of neuropathy after r...
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핵심어 | 질문 | 논문에서 추출한 답변 |
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신경병증은 감각증상에 따라 어떻게 분류되는가? | 신경병증은 감각증상에 따라 분류하면 양성감각증상 (positive sensory symptom)과 음성감각증상 (negative sensory symptom)으로 나눌 수 있다. 불쾌감 유발 여부와 상관 없이 양성 및 음성의 비정상적인 감각을 통칭하여 감각이상 (paresthesia)이라 하는데, 양성감각증상에는 통증 (pain), 감각과민 (hyperesthesia), 감각부전 (dysesthesia) 등이 있으며, 이 중 감각부전은 통증과 같이 불쾌감을 유발하는 비정상적인 감각을 지칭한다. | |
감각이상(paresthesia)이란? | 신경병증은 감각증상에 따라 분류하면 양성감각증상 (positive sensory symptom)과 음성감각증상 (negative sensory symptom)으로 나눌 수 있다. 불쾌감 유발 여부와 상관 없이 양성 및 음성의 비정상적인 감각을 통칭하여 감각이상 (paresthesia)이라 하는데, 양성감각증상에는 통증 (pain), 감각과민 (hyperesthesia), 감각부전 (dysesthesia) 등이 있으며, 이 중 감각부전은 통증과 같이 불쾌감을 유발하는 비정상적인 감각을 지칭한다. 그리고 음성감각증상에는 감각저하 (hypoesthesia)나 감각소실 (anesthesia) 등이 있다1,2. | |
하악신경 손상에 의한 신경병증이 있는 경우로 진단되거나 의심된 환자에게 처방된 약물은? | 처방된 약물은 스테로이드, 항경련제 (anticonvulsant)나 항우울제 (antidepressants), 진통제 등이었고, 내원 시 증상 변화에 따라 투약 지속여부와 용량이 조절되었다. 스테로이드는 prednisolone (Solondo® , 유한양행)이 처방되었고, 항경련제는 gabapentin (Neurontin® , 한국화이자), clonazepam (Rivotril® , 한국로슈), topiramate (Topamax® , 한국얀센), carbamazepine (Tegretol CR® , 한국노바티스) 등이 처방되었으며, 항우울제는 삼환성 항우울제 ((amitriptyline(Etravil® , 동화약품), nortriptyline (Sensival® , 일성신약)), SNRI (Serotonin Norepinephrine Reuptake Inhibitor) 항우울제 (venlafaxine hydrochloride (Effexor-XR® , 일동제약)와 SSRI (Selective Serotonin Reuptake Inhibitor) 항우울제 (paroxetine(Seroxat® , 글락소스미스클라인)가 처방되었고, 진통제는 acetaminophen과 tramadol 복합제제 (Ultracet® , 한국얀센)가 처방되었다. |
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