11. 11. 一个人的生活. 宫产生的头痛和尾神经疼痛
Nicole Lefel1, Hans van Suijlekom2, Steven P C Cohen3,4
1Anesthesiology and Pain Medicine, Maastricht University Medical Center, Maastricht, The Netherlands.
Pain practice : the official journal of World Institute of Pain
|September 2, 2024
概括
宫性头痛和尾神经疼痛的治疗方法各不相同,CEH的射频切除和ON的脉冲射频提供长期缓解. 耐药病例可能受益于尾神经刺激.
科学领域:
- 神经学 神经学
- 疼痛管理 疼痛管理
背景情况:
- 宫性头痛 (CEH) 和部神经疼痛 (ON) 在部和上部共同起源,导致重叠的症状.
- 诊断依赖于国际头痛协会的标准,头痛史,以及部移动性和敏感性的体检.
研究的目的:
- 审查和总结宫性头痛和尾神经疼痛的诊断和治疗.
- 根据最近的文献,确定有效的治疗策略.
主要方法:
- 对CEH和ON诊断和治疗的研究进行了全面的文献搜索.
- 搜索涵盖了从2015年到2022年8月出版的文献.
主要成果:
- 保守治疗包括疼痛教育,药物治疗,物理治疗和TENS.
- 注射和神经阻塞提供短期缓解;尾神经阻塞和脉冲射频 (PRF) 显示出对长期疼痛控制的承诺.
- 宫面关节的射频切除可以为CEH提供一年以上的缓解,而部神经的PRF则适用于ON. 尾神经刺激 (ONS) 是耐火性ON的一个选择.
结论:
- 面部关节的射频治疗是CEH的首选,而尾神经的脉冲射频治疗是ON的指示.
- 尾神经刺激是ON的耐火病例的一个可行的选择.
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