在性脊髓刺激器植入后出现不舒服的麻醉和麻醉
Zubin Sethi1, Tabish Aijaz1, Alvaro Ortega-Camacho1
1Department of Anesthesiology, Advocate Illinois Masonic Medical Center, Chicago, IL 60657, USA.
Brain sciences
|June 26, 2025
概括
在脊髓刺激器 (SCS) 植入后,令人不舒服的麻醉会影响近28%的患者,通常需要修改. 目前的烟草使用是发展这些感觉的重要风险因素.
科学领域:
- 神经学 神经学
- 疼痛管理 疼痛管理
- 医疗器械 医疗器械
背景情况:
- 性皮肤间脊髓刺激器 (SCS) 植入是慢性疼痛的治疗方法.
- 不舒服的麻醉和/或麻醉是SCS植入后的潜在并发症.
研究的目的:
- 为了确定在SCS植入后不舒服的麻醉症/麻醉症的发生率.
- 确定与这些不良感官事件相关的风险因素.
主要方法:
- 对从接受永久性皮肤透增强剂SCS.的患者前性收集数据的回顾性分析.
- 在植入后24个月期间评估并发症患病率.
主要成果:
- 平均随访时间为27.3个月;疼痛评分从8.05降至3.6.
- 修订 (34.95%) 和不愉快的麻醉 (27.86%) 是最常见的并发症.
- 目前的烟草使用是麻醉症的唯一显著风险因素 (p=0.001).
结论:
- 不舒服的麻醉会显著增加发病率,可能导致SCS扩张,尽管缓解了疼痛.
- 像波形选择这样的策略可能会降低对感觉的发生率.
- 目前的烟草使用是SCS后发育麻醉症/麻醉症的关键风险因素.
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