Manchikanti Laxmaiah, Boswell Mark V, Hirsch Joshua A
a Pain Management Center of Paducah , Paducah , KY , USA.
b Anesthesiology and Perioperative Medicine , University of Louisville , Louisville , KY , USA.
Expert Rev Neurother. 2016 Sep;16(9):1033-42. doi: 10.1080/14737175.2016.1194204. Epub 2016 Jun 7.
Interventional pain management dates back to 1901, with significant innovations, which include the definition, literature synthesis, pathophysiology, and technical interventions.
Interventional pain management and interventional techniques include neural blockade, neural ablative procedures, spinal cord and peripheral nerve stimulation, intrathecal drug delivery systems, minimally invasive lumbar decompression (MILD®), percutaneous endoscopic spinal decompression, and regenerative medicine. In addition, advances are also related to the evidence synthesis of comparative effectiveness research. Expert commentary: Multiple innovations in interventional pain management and potential innovations may reduce costs and improve care and outcomes with proper evidence synthesis and application of principles of evidence-based medicine. Innovations in interventional pain management in managing chronic spinal pain depend on extensive research and appropriate evidence synthesis. Innovations should be developed in conjunction with health care policy based on principles of evidence-based medicine.
介入性疼痛管理可追溯到1901年，有重大创新，包括定义、文献综述、病理生理学和技术干预。
介入性疼痛管理和介入技术包括神经阻滞、神经毁损术、脊髓和周围神经刺激、鞘内药物输送系统、微创腰椎减压术（MILD®）、经皮内镜下脊柱减压术和再生医学。此外，进展还与比较有效性研究的证据综合有关。专家评论：介入性疼痛管理的多项创新以及潜在创新，通过适当的证据综合和循证医学原则的应用，可能会降低成本并改善护理及治疗效果。介入性疼痛管理在慢性脊柱疼痛管理方面的创新依赖于广泛的研究和适当的证据综合。应根据循证医学原则结合医疗保健政策来开展创新。
