经皮电神经刺激治疗妊娠患者神经纤维瘤病所致神经性疼痛：一例报告
Neuropathic Pain due to Neurofibromatosis Treated With Transcutaneous Electrical Nerve Stimulation in a Pregnant Patient: A Case Report.
作者信息
Caño Silva Victor, Serrano Afonso Ancor
机构信息
From the Department of Anesthesiology, Critical Care and Pain Clinics, Hospital Universitari de Bellvitge, Barcelona, Spain.
出版信息
A A Pract. 2019 Nov 1;13(9):329-331. doi: 10.1213/XAA.0000000000001068.
A patient with neurofibromatosis type 1 presented to the pain clinic with neuropathic pain. Thoracolumbar magnetic resonance imagining revealed meningocele T12-L2 with cauda equina distortion. After becoming pregnant, the patient interrupted opioid treatment, refusing pharmacological treatment until the pain became unbearable. Transcutaneous electrical nerve stimulation (TENS) was proposed. The patient used this treatment from the first trimester until month 6 postpartum, achieving good analgesia without any adverse effects for the mother or child. TENS may be a viable treatment for neuropathic pain (NP) during pregnancy. However, more data are needed due to the difficulty of conducting clinical trials in this population.
一名1型神经纤维瘤病患者因神经性疼痛前往疼痛门诊就诊。胸腰椎磁共振成像显示T12 - L2水平存在脊膜膨出并伴有马尾神经扭曲。怀孕后，患者中断了阿片类药物治疗，在疼痛变得难以忍受之前拒绝药物治疗。建议采用经皮电刺激神经疗法（TENS）。该患者从孕早期一直使用这种治疗方法直至产后6个月，实现了良好的镇痛效果，且对母婴均无任何不良反应。TENS可能是孕期神经性疼痛（NP）的一种可行治疗方法。然而，由于在这一人群中开展临床试验存在困难，还需要更多数据。
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