对于疼痛管理的周围神经刺激:一篇评论
Robert M Chow1, Ryan Yesung Lee2, Kanishka Rajput3
1Department of Anesthesiology, Yale University School of Medicine, 333 Cedar St, New Haven, CT, TMP306510, USA.
Current pain and headache reports
|July 31, 2023
概括
周围神经刺激 (PNS) 对慢性疼痛有希望,但证据是混合的. 暂时的皮肤穿透PNS可以提供持久的缓解和改善功能,而无需永久植入物.
科学领域:
- 神经学 神经学
- 疼痛管理 疼痛管理
- 医疗器械 医疗器械
背景情况:
- 周围神经刺激 (PNS) 越来越多地用于慢性疼痛,特别是神经病痛.
- 对于PNS的征兆已经扩大到超出特定神经损伤的范围,包括慢性腰部疼痛等疾病.
研究的目的:
- 审查慢性疼痛综合征PNS的现有证据.
- 探索PNS在手术后立即设置中的新兴证据.
主要方法:
- 对有关PNS疗效和结果的现有文献进行系统审查.
- 对调查短期皮肤穿透PNS应用的研究进行分析.
主要成果:
- 关于PNS的疗效和长期结果存在相互矛盾的证据,通常是由于研究规模较小.
- 经过60天的皮肤PNS可能会产生显著的转移性疼痛缓解和功能改善.
- 这种方法可能会消除对永久植入系统的需求.
结论:
- 慢性疼痛神经系统是一个正在发展的领域,在慢性疼痛管理中应用范围正在扩大.
- 暂时的皮肤穿透PNS是缓解疼痛和功能增强的可行选择,可能避免永久硬件.
相关概念视频
Peripheral Artery Disease V: Postoperative Nursing Management
12
During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
12
Analgesia and Pain Management
660
Pain is critical to various clinical pathologies, provoking an urgent need for effective management. Pain, whether acute or chronic, is a complex neurochemical process. Its alleviation depends on the type, with nonopioid analgesics effective for mild to moderate pain, such as musculoskeletal or inflammatory pain, while neuropathic pain responds best to anticonvulsants, tricyclic antidepressants, or serotonin/norepinephrine reuptake inhibitors. For severe acute or chronic pain, opioids may be...
660


