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患有脊髓刺激器的女性妊娠:病例报告及文献复习。

Pregnancy in woman with spinal cord stimulator for complex regional pain syndrome: a case report and review of the literature.

机构信息

Department of Anesthesiology and Pain Medicine, Seoul National University Bundang Hospital, Seongnam, Korea.

出版信息

Korean J Pain. 2010 Dec;23(4):266-9. doi: 10.3344/kjp.2010.23.4.266. Epub 2010 Dec 1.

Abstract

Spinal cord stimulation (SCS) is used to manage chronic pain syndromes and it is accepted a cost-effective therapy. Child-bearing women who had SCS become or choose to become pregnant despite these policies pregnancy is a relative contraindication. A 32-year-old woman had SCS as a treatment for the CRPS I of the left lower extremity. During various check up tests, we happen to find out that her serum beta-hCG was positive and confirmed pregnancy. SCS is not recommended in pregnancy because the effects of SCS on pregnancy and nursing mothers had not been confirmed. However, many female patients suffering from chronic pain may expect future pregnancy and we think that they must be informed about the possibility of pregnancy and the effects of SCS device implantation in the course of pregnancy. First of all, a good outcome requires a multidisciplinary team approach, including obstetrics, neonatology, pain medicine and anesthesia, as was used from an early pregnancy. Unfortunately, she had a misabortrion after 6 weeks.

摘要

脊髓刺激(SCS)用于治疗慢性疼痛综合征,被认为是一种具有成本效益的治疗方法。尽管有这些政策,但已经接受 SCS 治疗的育龄妇女仍会怀孕或选择怀孕,而怀孕是相对禁忌症。一位 32 岁的女性因左侧下肢复杂性区域疼痛综合征 I 型接受 SCS 治疗。在各种检查测试中,我们偶然发现她的血清β-hCG 呈阳性,并确认怀孕。不建议在怀孕期间进行 SCS,因为 SCS 对怀孕和哺乳期妇女的影响尚未得到证实。然而,许多患有慢性疼痛的女性可能期望未来怀孕,我们认为在怀孕期间必须告知她们怀孕的可能性以及 SCS 设备植入的影响。首先,一个良好的结果需要多学科团队的方法,包括产科、新生儿科、疼痛医学和麻醉学,从早期妊娠开始就已经使用了这些方法。不幸的是,她在 6 周后流产了。

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Pharmacologic management of chronic pain.慢性疼痛的药物治疗管理。
Korean J Pain. 2010 Jun;23(2):99-108. doi: 10.3344/kjp.2010.23.2.99. Epub 2010 May 31.
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Caesarean section in a parturient with a spinal cord stimulator.产妇带有脊髓刺激器行剖宫产术。
Int J Obstet Anesth. 2010 Jan;19(1):114-7. doi: 10.1016/j.ijoa.2009.08.006. Epub 2009 Nov 28.

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