与使用外围神经刺激器用于疼痛管理相关的并发症
Bennett Andrassy1, Marcus Harris, Taif Mukhdomi
1Pain Labs, New Albany, OH USA 43054.
The Clinical journal of pain
|October 16, 2025
概括
对于疼痛管理的外周神经刺激器 (PNS) 经常出现诸如感染和设备问题,如迁移等过程性并发症. 加强患者选择和感染预防对于安全使用PNS至关重要.
科学领域:
- 神经调节是一种神经调节.
- 疼痛管理 疼痛管理
- 医疗器械安全 医疗器械安全
背景情况:
- 周围神经刺激剂 (PNS) 越来越多地用于疼痛管理.
- 微型化和部分外部化设备的进步推动了PNS的利用.
- 虽然通常是安全的,但特定的并发症频率需要详细检查.
研究的目的:
- 描述与外周神经刺激器 (PNS) 使用相关的最常见并发症.
- 为了比较四种商用PNS设备中的并发症类型.
- 为了告知PNS在疼痛管理中的安全使用.
主要方法:
- 对四种PNS设备 (SPRINT®,Nalu,StimQ®/Freedom®,Stimrouter®) 的FDA MAUDE数据库不良事件报告进行分析.
- 从2014年3月到2024年3月收集的数据.
- 用微软Excel和RStudio根据事件描述对1,149个独特报告进行分类.
主要成果:
- 程序性并发症 (31.3%) 是最常见的,主要是感染 (26.8%).
- 与设备相关的并发症 (30.9%) 包括迁移 (10.5%) 和侵蚀 (8.09%).
- 探索性治疗 (46.3%) 是最常见的治疗策略,其次是非手术治疗 (22.9%) 和手术修复 (17.7%).
结论:
- 感染占PNS并发症的很大一部分,比以前报告的要高.
- 严格的患者选择和增强的感染预防协议是安全使用PNS所必需的.
- 了解并发症概况有助于优化使用PNS设备的疼痛管理策略.
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