慢性膝痛中的周围神经刺激:一个案例系列
Timothy D Kelly1, Michael L Pazzol2, Raheleh Rahimi Darabad3
1Department of Emergency Medicine Residency, Indiana University School of Medicine, Indianapolis, USA.
Cureus
|January 8, 2024
概括
周围神经刺激 (PNS) 为慢性膝关节疼痛患者提供了显著的长期疼痛缓解. 这项研究发现,PNS是一种安全有效的治疗方法,大多数患者的疼痛减少超过50%.
科学领域:
- 整形外科 整形外科 整形外科
- 神经学 神经学
- 疼痛管理 疼痛管理
背景情况:
- 慢性膝盖疼痛会影响人们的行动能力和生活质量.
- 周围神经刺激 (PNS) 是一种不断增长的慢性疼痛治疗方法.
- 对PNS治疗慢性膝关节疼痛的研究是有限的.
研究的目的:
- 评估PNS在慢性膝关节疼痛中的安全性和有效性.
- 评估PNS植入后的长期疼痛减轻.
主要方法:
- 追溯14名患者 (17例) 的病例系列,他们接受了PNS治疗慢性膝关节疼痛.
- 通过查看病历和患者的电话来收集数据.
- 主要结局:在植入后六个月内减少百分比的疼痛.
主要成果:
- 在六个月后,平均疼痛减少了52%.
- 75%的患者在六个月后报告≥50%的疼痛减轻.
- 没有报告与PNS植入或刺激相关的不良事件.
结论:
- PNS是一种安全有效的治疗慢性膝盖疼痛的方法.
- PNS在膝关节疼痛方面表现出长期的治疗效益.
- 需要进一步的研究来确定预测治疗反应的因素.
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