神经刺激对慢性胰腺疼痛的影响:系统性审查
Maria F Andrade1, Walter Fabris-Moraes2, Kevin Pacheco-Barrios3
1Neuromodulation Center and Center for Clinical Research Learning, Spaulding Rehabilitation Hospital, Harvard Medical School, Boston, MA, USA.
概括
重复性跨磁刺激 (rTMS) 和脊髓刺激 (SCS) 显示出治疗慢性胰腺疼痛的前景,大多数神经刺激技术可以减少阿片类药物的使用. 需要进行更大规模试验的进一步研究.
科学领域:
- 神经学 神经学
- 疼痛管理 疼痛管理
- 医疗器械 医疗器械
背景情况:
- 慢性胰腺疼痛是一种严重的疾病,治疗选择有限.
- 神经刺激技术正在被探索,因为它们有可能激活下降疼痛抑制途径.
- 这篇评论调查了慢性胰腺疼痛的神经调节.
结论:
- rTMS和SCS显示了慢性胰腺疼痛管理的持续潜力.
- 减少阿片类药物摄入量是大多数研究的神经刺激技术中常见的趋势.
- 建议进行进一步的大规模临床试验,并进行适当的对照,以确认疗效.
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