肌皮和辐射神经的双外周刺激用于耐火的上肢疼痛:病例报告
Gabriel Howard1, William Naber Ii2, Andrew Porter3
1Temple University Hospital, Philadelphia, PA.
Pain medicine case reports
|September 10, 2025
概括
周围神经刺激有效地减少了慢性上肢疼痛在一个失败了保守治疗的患者. 辐射神经和肌皮神经的顺序刺激提供了显著的,持久的疼痛缓解.
科学领域:
- 神经学 神经学
- 疼痛管理 疼痛管理
- 干预性疼痛医学 干预性疼痛医学
背景情况:
- 周围神经刺激 (PNS) 是一种成熟的疗法,但对刺激大感官和混合神经的数据仍然有限.
- 慢性疼痛通常需要多模式治疗方法,包括干预策略.
研究的目的:
- 为了评估连续的外围神经刺激在管理强硬的上肢疼痛中的有效性.
- 探索用于慢性疼痛管理的阿片类药物节约干预模式.
主要方法:
- 一份病例报告详细介绍了一名42岁的女性患者,在10年的病史中,她在机动车辆事故后患有难以治愈的左上肢疼痛.
- 在保守治疗失败后,植入连续的辐射和肌皮神经刺激剂.
- 评估单个和联合神经刺激后的疼痛减轻.
主要成果:
- 辐射神经刺激导致疼痛减少45%.
- 肌皮神经刺激实现了50%的疼痛减轻.
- 组合的顺序刺激提供了总体疼痛减轻超过72%的基线.
结论:
- 辐射和肌皮神经的顺序刺激是治疗不治愈的上肢疼痛的可行的阿片类药物节约选择.
- 周围神经刺激可以为复杂的慢性疼痛条件提供大量和总体的疼痛缓解.
- 这种方法显示出改善耐火性神经病痛患者生活质量的潜力.
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