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脊髓刺激的常见和不常见指示的长期结果:一项前性研究

Niruji Saengsomsuan¹, Pramote Euasobhon², Bunpot Sitthinamsuwan³

¹Department of Anesthesiology, Thammasat University Hospital, Thammasat University, Thailand.

|February 4, 2025

概括

脊髓刺激 (SCS) 有效地长期管理慢性耐火性疼痛. 患有FBSS,CRPS和PVD等通常指示的患者比患有异常指示的患者表现出更好的试验成功和结果.

科学领域:

神经学神经学
疼痛管理疼痛管理
神经外科神经外科

背景情况:

脊髓刺激 (SCS) 是对失败的背部手术综合征 (FBSS),复杂的区域性疼痛综合征 (CRPS) 和不可手术的外周血管疾病 (PVD) 的经过验证的止痛方法.
对于既有和不常见的疼痛疾病,缺乏SCS的长期比较研究.

研究的目的:

评估脊髓刺激 (SCS) 对典型和非典型患者适应症的长期疗效.
为了比较接受SCS的患者之间的结果,通常的指示与不寻常的指示.

主要方法:

进行了一项观察性,前性,单中心研究.
患有慢性耐火性疼痛的患者接受了SCS,随访时间长达36个月.
疼痛强度,疼痛干扰和与健康相关的生活质量 (HRQOL) 在基线和植入后的多次间隔中进行了评估.

主要成果:

30名患者成功实现了SCS植入 (24例常见,6例异常症状).
整体疼痛强度在植入后显著下降 (P < 0.01),随着时间的推移,疼痛干扰和HRQOL的改善.
患有通常指标的患者表现出较高的试验-植入比率和更大,更一致的疼痛和HRQOL改善趋势.

结论:

脊髓刺激 (SCS) 为慢性耐火性疼痛提供有效的长期疼痛缓解.
虽然SCS对各种疾病有效,但患有通常适应症 (FBSS,CRPS,PVD) 的患者在SCS试验中成功率更高,并且往往获得更好的长期结果.

关键词:

泰国泰国泰国泰国与健康有关的干扰干扰疼痛的强度,疼痛的强度.与疼痛相关的干扰干扰耐火性疼痛是一种耐火性疼痛.试验-每种植入物比率的比率.不寻常的迹象不寻常的迹象通常的指示通常的指示.脊髓刺激是一种脊髓刺激.

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