经皮电神经刺激和脊髓刺激用于缓解反射性交感神经营养不良的疼痛

Transcutaneous electrical nerve stimulation and spinal cord stimulation for pain relief in reflex sympathetic dystrophy.

作者信息

Robaina F J, Rodriguez J L, de Vera J A, Martin M A

机构信息

Department of Neurosurgery, Hospital Ntra. Sra. de Candelaria, Santa Cruz de Tenerife, Canary Islands, Spain.

出版信息

Stereotact Funct Neurosurg. 1989;52(1):53-62. doi: 10.1159/000099486.

DOI:10.1159/000099486

PMID:2784009

Abstract

35 patients with the diagnosis of reflex sympathetic dystrophy in a late stage have been treated with transcutaneous electrical nerve stimulation (TENS). 6 out of the 35 were also submitted to spinal cord stimulation (SCS). The follow-up was from 10 to 36 months. The results obtained were TENS group: 25% excellent, 45% good, 10% fair, 20% poor; in the SCS group: 16.6% excellent; 66.6% good and 16.6% fair. In the long run these results are better than those obtained with sympathetic blocks and sympathectomy. TENS and SCS have no effect on osteoporosis or ankylosis.

摘要

35例诊断为晚期反射性交感神经营养不良的患者接受了经皮电神经刺激（TENS）治疗。35例中有6例还接受了脊髓刺激（SCS）。随访时间为10至36个月。TENS组的结果为：25%优，45%良，10%中，20%差；SCS组的结果为：16.6%优，66.6%良，16.6%中。从长远来看，这些结果优于交感神经阻滞和交感神经切除术的结果。TENS和SCS对骨质疏松症或关节强直没有影响。