慢性疼痛神经调节对自主神经系统的影响:系统性审查
Bart Billet1,2,3, Lisa Goudman2,4,5,6,7,8, Philippe Rigoard9,10,11
1Pain Clinic, AZ Delta, Roeselare, Belgium.
BJA open
|September 25, 2024
概括
神经调节可能会改变慢性疼痛患者的自主神经系统 (ANS),但结果不一致. 需要进一步的研究来了解它对ANS的影响,以便更好地选择治疗.
科学领域:
- 神经科学是一个神经科学.
- 疼痛管理 疼痛管理
- 自主神经系统研究 自主神经系统研究
背景情况:
- 神经调节提供了慢性疼痛的替代治疗方法.
- 像脊髓刺激 (SCS) 和深度大脑刺激 (DBS) 这样的技术准神经活动.
- 自主神经系统 (ANS) 影响疼痛感知,但其对神经调节的反应尚不清楚.
研究的目的:
- 系统地审查神经调节在慢性疼痛中对ANS的影响.
- 评估现有的关于神经调节对与疼痛相关的自主功能影响的文献.
主要方法:
- 在四个电子数据库中进行了搜索:PubMed,EMBASE,SCOPUS和Web of Science.
- 使用OHAT风险偏差工具进行研究评估.
- 包括43项研究,主要是人类 (42) 和一项动物研究.
主要成果:
- 心血管参数是最常见的ANS结果指标.
- 脊髓刺激 (SCS) 是研究最多的技术 (62.79%).
- 对SCS,DBS和外围神经刺激的结果不一致;DRG刺激表明交感活动下降.
结论:
- 有证据表明神经调节对ANS产生影响,但由于结果的不同,这些发现是不确定的.
- 进一步的研究是必不可少的,以澄清机制,并优化患者选择神经调节疗法.
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