通过皮肤进行耳膜神经刺激来控制疼痛:一个范围的综述
Jie Chen1, Huan Kuang2, Aokun Chen3
1College of Nursing, Florida State University, Tallahassee, FL.
概括
通过皮肤进行耳道迷走神经刺激 (taVNS) 显示出对管理各种疼痛状况的前景. 需要进一步的研究来优化剂量,研究长期影响,并在临床实践中探索其全部潜力.
科学领域:
- 神经科学是一个神经科学.
- 疼痛管理 疼痛管理
- 医疗技术 医疗技术 医学技术
背景情况:
- 通过皮肤进行耳道迷走神经刺激 (taVNS) 是一种新兴的非侵入性神经调节技术.
- 迷你神经刺激已经证明了调节疼痛通路的潜力.
- 了解taVNS在疼痛管理中的应用需要对现有文献进行全面的审查.
研究的目的:
- 系统地审查使用taVNS研究的疼痛状况.
- 分析taVNS用于疼痛研究的方法和剂量参数.
- 确定taVNS用于疼痛管理领域的当前研究缺口.
主要方法:
- 使用了一个范围审查方法,遵守PRISMA指南.
- 在PubMed/Medline,PsycInfo,CINAHL和Scopus数据库中进行了系统的文献搜索.
- 搜索侧重于2014年至2024年3月期间发表的临床试验,使用与迷走神经刺激和疼痛相关的特定MeSH术语.
主要成果:
- 包括26个出版物,调查taVNS对偏头痛,类风湿性关节炎,纤维肌痛,易怒肠综合征和慢性腰部疼痛等疾病.
- 在研究中观察到设备类型,设置,剂量和电极放置的显著变化.
- 关键的研究缺口包括确定最佳剂量,评估干预忠实性,评估长期结果和分析社会人口因素.
结论:
- 有证据表明,taVNS具有治疗疼痛和减轻抑郁症等相关症状的潜力.
- 进一步的研究是必要的,以验证疗效,阐明机制,并优化taVNS的临床应用.
- 护士和医疗保健专业人员应了解taVNS,以便将其纳入疼痛管理策略.
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