在儿科患者中进行尾神经刺激,患有耐火性尾神经疼痛
James Mossner1, Nour B Saleh2, Maryam N Shahin3
1Department of Neurological Surgery, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
概括
尾神经刺激 (ONS) 可能有利于患有难以治疗的尾神经痛 (ON) 的儿科患者. 这项研究发现,ONS在没有响应医疗治疗的年轻患者中提供了显著的疼痛缓解和减少症状.
科学领域:
- 儿科神经学 儿科神经学
- 神经外科 神经外科
- 疼痛管理 疼痛管理
背景情况:
- 尾神经疼痛 (ON) 显著影响儿童,尽管医疗治疗,但经常持续存在.
- 儿科ON的手术选择有限,许多患者留下了未解决的疼痛.
- 尾神经刺激 (ONS) 在成年人中表现有前途,但其在儿童中的有效性尚未得到充分研究.
研究的目的:
- 评估尾神经刺激 (ONS) 在被诊断为医疗不耐药的尾神经疼痛 (ON) 的儿科患者的结果.
- 评估ONS的安全性和有效性,作为年轻人群中残疾ON的治疗方式.
主要方法:
- 在一个单一的机构进行了回顾性图表审查.
- 该研究确定了接受ONS试验和/或永久植入ON的儿科患者.
- 收集和分析了关于减轻疼痛和症状管理的数据.
主要成果:
- 确定了三名患有医疗耐药性ON的儿科患者.
- 一名患者在试验后经历了完全的疼痛缓解,并选择不进行永久植入.
- 其余两名患者报告说,通过ONS调整或近乎完全的症状解决,疼痛频率降低,症状控制得到改善,消除了对止痛药的需要.
结论:
- 关于在儿科患者中使用ONS的研究显著缺乏.
- 研究结果表明,ONS可能是对 ON 儿童有益的治疗选择,因为 ON 阻断了保守疗法.
- 需要进一步的研究,以确定ONS作为儿科ON的标准治疗方法.
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