在需要神经调节的耐火性慢性疼痛中,生病率
Emma C Sargent1, Hanna Johnson2, Avantika Mitbander2
1Florida Atlantic University Charles E. Schmidt College of Medicine, Boca Raton, FL, USA.
Neuromodulation : journal of the International Neuromodulation Society
|September 2, 2025
概括
在接受脊髓刺激或用于治疗慢性疼痛的内药物植入的患者中,有12. 3%的患者出现了内药,即内药的升高. 这一发现表明, 乙酸和慢性疼痛的免疫状态之间存在潜在的联系, 没有不良后果.
科学领域:
- 神经学
- 免疫学
- 治疗疼痛
背景情况:
- 这种病与各种疾病有关,但与慢性疼痛的联系尚未得到充分证实.
- 神经调节,包括脊髓刺激 (SCS) 和内药物 (ITP),用于高冲击性慢性疼痛.
研究的目的:
- 在接受SCS或ITP植入治疗慢性疼痛的患者中,调查eosinophilia的发病率和临床相关性.
- 确定是否与特定患者人口统计学,诊断或神经调节后的结果有关.
主要方法:
- 对接受SCS或ITP植入的114名患者的回顾性审查 (2017-2024年).
- 叶绿素是指绝对叶绿素计数 (AEC) ≥350个细胞/μL.
- 在患有和不患有乙酸患者之间对人口统计,临床和实验室数据进行比较.
主要成果:
- 12. 3% 的患者表现出埃索诺菲利亚 (AEC 平均值为 547 个细胞/μL 与 138 个细胞/μL).
- 没有观察到年龄,性别,植入物类型,诊断或疼痛改善的显著差异.
- 埃索诺菲尔组中发现了偏头痛和喘等并发症;没有出现短期并发症或修复手术.
结论:
- 在经历神经调节的慢性疼痛患者中,酸性痛比一般人群中更为普遍.
- 在此背景下,乳清性与短期不良结果无关.
- 它可能表明与高影响性慢性疼痛相关的潜在免疫状态.
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