穿皮耳神经刺激调节中风幸存者慢性上肢疼痛的疼痛感知:一个随机的,假冒控制的试点研究
Xiaolong Peng1, Stewart S Cox1, Brenna Baker-Vogel1
1Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, SC, USA.
概括
透皮耳神经刺激 (tAN) 是一种安全且可行的治疗慢性中风后疼痛的方法. 与假刺激相比,活性tAN显著增加了疼痛值,这表明它有治疗疼痛的潜力.
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:
- 慢性疼痛是一种常见的,使人衰弱的中风后果.
- 药物治疗中风后疼痛的疗法有效性和风险有限.
- 对于负担得起的中风后疼痛管理,需要进行非侵入性神经调节.
研究的目的:
- 探索穿皮耳神经刺激 (tAN) 在中风患者慢性上肢疼痛的安全性和可行性.
- 评估tAN对疼痛评级和热性疼痛值的镇痛作用.
主要方法:
- 15名中风和慢性上肢疼痛患者参与了这项研究.
- 每个人都接受了一次30分钟的活跃或虚假tAN.
- 疼痛评级和热疼痛值 (QST) 在刺激前和后被测量.
主要成果:
- 14名患者完成了这项研究.
- 对于QST疼痛值,发现了显著的时间 × 组相互作用.
- 活性tAN显著增加了疼痛值,与假刺激不同.
结论:
- 通过皮肤进行耳部神经刺激 (tAN) 是安全的,可用于慢性中风后疼痛.
- 活性tAN通过增加疼痛值来表现出止痛作用.
- 需要进一步的研究来优化tAN参数以获得长期疗效.
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