脊髓刺激在耐火性慢性疼痛中的机制和临床进展:概述
Bo Zhong1, Xiaodong Shi1, Xunhui Yuan1
1Department of Neurosurgery, Yidu Central Hospital of Weifang, Weifang, China.
Frontiers in neurology
|February 2, 2026
概括
脊髓刺激 (SCS) 通过调节神经递质和降低抑制,为慢性疼痛提供了一个有希望的神经调节疗法. 本综述探讨了耐火性疼痛条件的SCS机制和临床应用.
科学领域:
- 神经学 神经学
- 疼痛医学 医学 疼痛医学
- 生物医学工程 生物医学工程
背景情况:
- 慢性疼痛影响全球25%的人口,这给管理带来了重大挑战.
- 目前治疗慢性疼痛的治疗方案往往表现出有限的疗效.
- 脊髓刺激 (SCS) 是一种成熟的神经调节技术,用于治疗难治的疼痛.
研究的目的:
- 审查了解SCS在耐火性慢性疼痛中的作用和机制方面的最新进展.
- 探索SCS.的临床潜力和治疗机制.
- 提供当前SCS模式和临床适应症的概述.
主要方法:
- 关于SCS近期进展的文献综述.
- 分析SCS的关键机制,包括神经递质调制,下降抑制和皮质变化.
- 各种SCS操作模式的概述 (例如,高频,爆破,闭环).
主要成果:
- SCS机制包括神经递质调制,下降抑制和皮质重组.
- SCS可以通过多种模式交付,包括高频,爆发和闭环系统.
- 临床应用范围包括失败的背部手术综合征 (FBSS),复杂区域疼痛综合征 (CRPS),疼痛的糖尿病外围神经病变 (PDPN),缺血性疼痛和癌症疼痛.
结论:
- SCS在治疗耐火性慢性疼痛方面具有显著的潜力.
- 了解SCS机制对于优化治疗疗效至关重要.
- SCS为一系列使人虚弱的疼痛疾病提供了可行的治疗选择.
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