对于疼痛管理的周围神经刺激:对临床实践模式的调查
Jay Karri1, Eellan Sivanesan2, Amitabh Gulati3
1Department of Orthopaedic Surgery, University of Maryland School of Medicine, Baltimore, MD, USA; Department of Anesthesiology, University of Maryland School of Medicine, Baltimore, MD, USA.
概括
外周神经刺激 (PNS) 显示慢性疼痛的使用越来越多,但医生之间的实践差异很大. 需要进一步的研究来规范患者和目标选择以获得最佳的结果.
科学领域:
- 疼痛管理 疼痛管理
- 神经调节是一种神经调节.
- 临床实践研究 临床实践研究
背景情况:
- 周围神经刺激 (PNS) 越来越多地用于慢性疼痛,因为它具有镇痛和改善生活质量的潜力.
- 有限的临床指导有助于从业者之间PNS利用模式的显著差异.
研究的目的:
- 调查与周围神经刺激 (PNS) 相关的当前临床实践.
- 确定PNS利用变化的关键领域.
- 为标准化PNS实践提出下一步措施.
主要方法:
- 一个19个问题的在线调查被分发给疼痛医生.
- 用描述性统计数据分析了关于PNS利用的调查答案.
主要成果:
- 实践者对患者选择的偏好各不相同,大多数人青PNS治疗骨关节炎和神经病痛,但不青轴疼痛.
- 大多数从业者更喜欢PNS而不是神经轴神经调节用于复杂的区域性疼痛综合征和非手术性腰部疼痛.
- 神经点选择存在显著差异,从业者报告了对不良事件的不同反应,主要问题促使利用变化.
结论:
- 在PNS利用的关键临床考虑方面存在显著的实践差异.
- 未来的研究应该探索这些变异的驱动因素,以优化患者选择,目标选择和周围程序管理.
- 标准化PNS实践可能会改善患者的治疗结果.
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