在复杂的区域性疼痛综合征中通过皮肤进行的电神经刺激的影响:系统性审查
Natiele Camponogara Righi1, Richard Eloin Liebano2, Mark I Johnson3
1Programa de Pós-Graduação em Ciências da Reabilitação, Universidade Federal de Ciências da Saúde de Porto Alegre, Porto Alegre, Brazil.
Pain management
|July 15, 2025
概括
这次审查发现,对于复杂区域性疼痛综合征 (CRPS) 的皮肤间电神经刺激 (TENS) 证据不足. 需要更多的研究来确定TENS在CRPS患者疼痛和功能方面的疗效.
科学领域:
- 神经学 神经学
- 疼痛管理 疼痛管理
- 康复 康复 康复 康复
背景情况:
- 复杂区域性疼痛综合征 (CRPS) 是一种具有严重疼痛特征的衰弱性疾病.
- 通过皮肤进行电神经刺激 (TENS) 是治疗CRPS症状的潜在治疗选择.
- 评估TENS的有效性对于改善患者的治疗结果至关重要.
研究的目的:
- 系统地审查现有的随机对照试验 (RCT),评估TENS对CRPS患者疼痛强度的影响.
- 综合关于TENS在缓解疼痛和改善CRPS功能方面的疗效的发现.
主要方法:
- 在主要数据库 (PubMed,EMBASE,Cochrane CENTRAL,Web of Science,PEDro) 进行了全面的系统搜索,截至2025年6月.
- 包含的RCT评估了CRPS患者的TENS对疼痛的影响,与安慰剂,常规护理或没有干预进行比较.
- 数据提取和描述性合成由两个独立的审查员进行,并使用RoB 2工具评估偏差风险.
主要成果:
- 只有两项涉及38名参与者的RCT符合纳入标准.
- 一项研究表明,传统TENS比假TENS在疼痛,运动和方面具有潜在的益处.
- 第二项研究是一项可行性试验,数据有限,没有组间比较;注意到存在偏见风险的担忧.
结论:
- 目前的证据不足以确定TENS在改善复杂区域性疼痛综合征的疼痛和功能方面的有效性.
- 需要进一步进行高质量的随机对照试验,以指导临床实践,并为TENS的CRPS管理提供治疗决策.
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