冷却素应用部位对降低神经病痛患者烧灼感的影响:随机对照试验
Natacha Tailliez1, Lucie Planche2, Agnès Dorion2
1Pain Assessment and Treatment Center, Centre Hospitalier Départemental Vendée, La Roche-sur-Yon, France.
概括
低温疗法显著减少了来自素补丁的灼热疼痛. 然而,这种冷却方法在8周的随访期间没有影响整体神经病痛.
科学领域:
- 疼痛管理 疼痛管理
- 神经学 神经学
- 皮肤病学 皮肤病学
背景情况:
- 局部神经病痛仍然是一个重大的临床挑战.
- 素 (8%) 补丁 (QUTENZA) 用于神经病痛,但可以引起灼热感.
- 低温疗法被探索为管理程序性疼痛的辅助.
研究的目的:
- 评估冷疗法在减少卡普赛辛贴片引起的灼热疼痛方面的疗效.
- 在8周的随访期内评估冷治疗对神经病痛的影响.
主要方法:
- 前性,随机化,双中心,开放标签,干预性试验.
- 99名神经性疼痛患者被随机分为冷治疗和无冷治疗组.
- 对疼痛的视觉模拟尺度 (VAS) 评分在贴片应用后的30分钟和60分钟,并在2个月内每周一次测量.
主要成果:
- 结晶疗法在应用后60分钟显著降低燃烧疼痛VAS得分 (3.78对6.99).
- 在8周的随访期间,两组之间没有观察到神经病痛VAS得分的统计学上显著差异.
结论:
- 低温疗法有效地缓解与素贴片应用相关的急性灼热疼痛.
- 低温疗法不能为潜在的神经病痛提供持续的缓解.
- 整合冷却可以改善患者体验和神经病变性疼痛管理中的治疗联盟.
更多相关视频
相关概念视频
Thermosensation
30.3K
Peripheral thermosensation is the perception of external temperature. A change in temperature (on the surface of the skin and other tissues) is detected by a family of temperature-sensitive ion channels called Transient Receptor Potential, or TRP, receptors. These receptors are located on free nerve endings. Those detecting cold temperatures are closer to the surface of the skin than the nerve endings detecting warmth. These thermoTRP channels, while temperature selective, have relatively...
30.3K
Decreased Body Temperature
602
A decreased body temperature can occur in patients with hypothermia and frostbite. Heat loss with extended cold exposure overpowers the body's ability to create heat, resulting in hypothermia. Core temperature readings help classify hypothermia. Mild hypothermia is temperatures between 32 °C (89.6 °F) and 35°C (95 °F) and is caused by impaired thermoregulation. Moderate hypothermia is temperatures between 28 C (82.4 °F) and 32 °C (89.6 °F) caused by...
602
Pain
466
Pain serves as a critical warning signal that alerts the body to potential or actual harm. When mechanical pressure on the skin is intense, such as from a sharp pinch, the sensation transitions from touch to pain. Similarly, extreme temperatures, like a hot pot handle, convert the sensation of heat into pain. Pain can also result from overstimulation of other senses, such as blinding light, loud noise, or the intense heat from habañero peppers. This ability to sense pain is essential for...
466
Nociception
27.7K
Nociception—the ability to feel pain—is essential for an organism’s survival and overall well-being. Noxious stimuli such as piercing pain from a sharp object, heat from an open flame, or contact with corrosive chemicals are first detected by sensory receptors, called nociceptors, located on nerve endings. Nociceptors express ion channels that convert noxious stimuli into electrical signals. When these signals reach the brain via sensory neurons, they are perceived as pain.
27.7K


