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脊髓刺激治疗腰部疼痛:一个系统性审查

Alan D Kaye¹, Joseph R Archer², Shivam Shah³

¹Departments of Anesthesiology and Pharmacology, Toxicology, and Neurosciences, Louisiana State University Health Sciences Center Shreveport, Shreveport, LA, 71103, USA.

Current pain and headache reports

|January 3, 2025

概括

脊髓刺激 (SCS) 与慢性腰部疼痛的传统医疗管理相比,提供更好的疼痛缓解和改善日常功能. 较新的SCS方法显示出更高的疗效,具有良好的安全性.

科学领域:

神经学神经学
疼痛管理疼痛管理
再生医学是一种再生医学.

背景情况:

慢性腰部疼痛 (LBP) 严重影响全球数百万人,需要先进的治疗选择.
脊髓刺激 (SCS) 是一种新兴的干预措施,用于常规疗法的LBP耐火性.

研究的目的:

系统地审查SCS对慢性LBP的疗效和安全性.
将SCS与传统医疗管理 (CMM) 进行比较.
为了评估新的SCS模式.

主要方法:

在PubMed,谷歌学者,Cochrane和Embase (2010-2024) 的系统文献搜索.
包括8项研究,涉及1172名患者.
评估疼痛水平和日常功能.

主要成果:

在减轻疼痛,功能,心理健康和减少阿片类药物依赖方面,SCS表现出优于CMM的优势.
新的SCS方法 (HF,DTM,多相) 显示出更好的疗效.
副作用的发生率很低,这表明安全性很好.

结论:

脊髓刺激 (SCS) 是一种安全有效的慢性腰痛治疗方法,其效果优于传统医疗管理 (CMM).
新兴的SCS技术在疼痛管理和患者功能方面提供了显著的改进.
医生可以将SCS视为慢性LBP患者寻求增强疼痛减轻和功能恢复的可行选择.

关键词:

止痛药止痛药是一种止痛药.慢性下背部疼痛慢性下背部疼痛疼痛管理疼痛管理脊髓刺激脊髓刺激

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The Spinal Cord

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The spinal cord is the body’s major nerve tract of the central nervous system, communicating afferent sensory information from the periphery to the brain and efferent motor information from the brain to the body. The human spinal cord extends from the hole at the base of the skull, or foramen magnum, to the level of the first or second lumbar vertebra.