选择神经调节装置治疗慢性疼痛疾病:叙述性综述
Sayed Wahezi1, Alan D Kaye2, Ugur Yener1
1Department of Physical Medicine and Rehabilitation, Montefiore Medical Center, Bronx, NY.
Pain physician
|February 2, 2026
概括
神经调节通过诸如脊髓刺激 (SCS) 和外围神经刺激 (PNS) 等创新来提供先进的,个性化的疼痛管理. 标准化培训和术语对于安全有效的慢性疼痛护理至关重要.
科学领域:
- 疼痛医学 医学 疼痛医学
- 神经科学是一个神经科学.
- 生物工程是生物工程.
背景情况:
- 神经调节是一种快速发展的疼痛医学领域,为慢性疼痛提供有针对性的干预措施.
- 技术进步使神经调节成为多学科疼痛管理的核心组成部分.
- 实践中的变化需要达成一致的安全性和有效性框架.
研究的目的:
- 定义当前和新兴的神经调节概念.
- 总结支持神经调节技术的证据.
- 提供个性化慢性疼痛管理的框架.
主要方法:
- 关于神经调节策略的全面叙事审查.
- 综合了关于脊髓刺激 (SCS),背部根结节刺激 (DRGS),外周神经刺激 (PNS),运动皮层刺激 (MCS),深度大脑刺激 (DBS) 和向药物递送 (TDD) 的数据.
- 整合新兴的概念,分类,指示和技术进步.
主要成果:
- 由于技术创新,神经调节的使用已大幅扩大.
- PNS在焦点神经病痛中表现出有效性;SCS是广泛神经病痛的主要支柱.
- 像10kHz高频SCS,DRGS和闭环系统这样的创新提高了精度和患者的结果.
- 向药物递送 (TDD) 提供精确的,个性化的辅助疗法.
结论:
- 神经调节在神经科学,生物工程和临床实践的交汇处取得了进展.
- 协调定义,分类和教育对于未来的创新至关重要.
- 标准化将确保安全,有效和公平的神经调节患者护理.
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