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Gynäkologische Endokrinologie

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13.01.2022 | Anästhetika | CME

Therapie mit Lokalanästhetika in Endokrinologie und Gynäkologie

Evidenz und Perspektiven

verfasst von: Dr. med. Stefan Weinschenk

Erschienen in: Gynäkologische Endokrinologie | Ausgabe 1/2022

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Zusammenfassung

Die Therapie mit Lokalanästhetika (TLA) findet bis heute breiten Einsatz bei vielen banalen Alltagsbeschwerden. Das Grundlagenwissen über die pleiotropen molekularen Wirkungen von Lokalanästhetika ist umfangreich. Kontrollierte klinische Studien gibt es jedoch nur wenige. Die Indikationen lassen sich fünf Bereichen zuordnen: chronische Schmerzen, chronische Entzündungen, funktionelle Beschwerden, vegetative Beschwerden und Durchblutungsstörungen. Wichtige Kontraindikationen sind Allergien gegen Lokalanästhetika und Nadelangst. Eine häufige, aber harmlose Nebenwirkung ist die Kreislaufschwäche unmittelbar nach Behandlung. Schwere Nebenwirkungen sind selten. In der Gynäkologie findet die TLA Einsatz bei Vulvodynie, chronischer Zystitis und Kolpitis, Dysmenorrhö, unklaren Unterbauchbeschwerden, zyklischen Beschwerden und Narbenschmerzen. Indikationen in der Endokrinologie sind therapieresistente Schmerzen bei Endometriose und klimakterische Beschwerden bei Kontraindikation von Hormonen.

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Titel: Therapie mit Lokalanästhetika in Endokrinologie und Gynäkologie
Evidenz und Perspektiven
verfasst von: Dr. med. Stefan Weinschenk
Publikationsdatum: 13.01.2022
Verlag: Springer Medizin
Schlagwörter: Anästhetika
Neuraltherapie
Endometriose
Komplexes regionales Schmerzsyndrom
Komplexes regionales Schmerzsyndrom
Zystitis
Sympathikolyse
Zystitis
Anästhetika
Erschienen in: Gynäkologische Endokrinologie / Ausgabe 1/2022
Print ISSN: 1610-2894
Elektronische ISSN: 1610-2908
DOI: https://doi.org/10.1007/s10304-021-00428-0

Springer Medizin

Zusammenfassung

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