[在耐火复杂区域疼痛综合征中脊髓刺激. 一个前性研究]
D Suárez-Villanueva1, N Cordero-Tous1, C Paul-Ríos2
1Hospital Universitario Virgen de las Nieves, 18013 Granada, España.
Revista de neurologia
|July 30, 2024
概括
脊髓刺激为复杂区域疼痛综合征 (CRPS) 患者提供显著的疼痛缓解和功能改善,这些患者对其他治疗没有反应. 身体质量指数影响功能恢复的结果.
科学领域:
- 神经学 神经学
- 疼痛医学 医学 疼痛医学
- 康复 康复 康复 康复
背景情况:
- 复杂区域性疼痛综合征 (CRPS) 在疼痛管理和功能恢复方面存在重大挑战.
- 标准治疗往往无法为耐火性CRPS病例提供足够的缓解.
研究的目的:
- 评估CRPS患者脊髓刺激 (SCS) 的疗效.
- 评估SCS作为CRPS患者的治疗选择,这些患者在先前的治疗中无法控制疼痛.
主要方法:
- 这是一项在2018年至2020年期间进行的前性研究.
- 包括被诊断患有常规治疗不耐用的CRPS的患者.
- 在干预后的一年内监测疗效,功能和阿片类药物依赖.
主要成果:
- 53.84%的患者通过SCS获得了显著的疼痛缓解.
- 观察到疼痛 (p < 0.001) 和功能 (p = 0.003) 的统计学显著改善.
- 增加的身体质量指数 (BMI) 与较低的功能改善显著相关 (ODI/NDI,p = 0.011).
结论:
- 脊髓刺激是耐火性CRPS的有效治疗方法.
- SCS可以导致大量的疼痛减轻和功能增长.
- 体重指数 (BMI) 是影响SCS治疗的CRPS患者功能结果的相关因素.
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