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经皮神经刺激治疗高嗜酸性粒细胞综合征所致周围性多发性神经病——一例报告

Transcutaneous neurostimulatory treatment for peripheral polyneuropathy induced by hypereosinophilic syndrome - A case report.

作者信息

Kwon Kihyug, Park Ji Eun, Park Woosoo, Lee Teakseon

机构信息

Department of Anesthesiology and Pain Medicine, Dongguk University Ilsan Hospital, Goyang, Korea.

出版信息

Anesth Pain Med (Seoul). 2021 Jul;16(3):295-298. doi: 10.17085/apm.20096. Epub 2021 Jul 9.

DOI:10.17085/apm.20096
PMID:34289300
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8342826/
Abstract

BACKGROUND

Hypereosinophilic syndrome is a rare disease that increases the number of circulating eosinophils in the body. It has many complications, including peripheral polyneuropathy. Peripheral polyneuropathy often does not respond well to conventional therapies. Transcutaneous neurostimulatory treatment, also known as scrambler therapy, is an alternative modality for the treatment of chronic retractable pain.

CASE

A 47-year-old female presented with complaints of bilateral calf pain. She had been under treatment for peripheral polyneuropathy induced by hypereosinophilic syndrome for 7 years. Pharmacologic treatment did not affect the patient's symptoms.

CONCLUSIONS

Transcutaneous neurostimulatory treatment was administered to the patient. It was effective on her symptoms, and the effect of pain alleviation continued for 3 months.

摘要

背景

高嗜酸性粒细胞综合征是一种罕见疾病,会使体内循环嗜酸性粒细胞数量增加。它有许多并发症,包括周围性多神经病。周围性多神经病通常对传统疗法反应不佳。经皮神经刺激治疗,也称为扰频器疗法,是治疗慢性顽固性疼痛的一种替代方式。

病例

一名47岁女性因双侧小腿疼痛就诊。她因高嗜酸性粒细胞综合征引起的周围性多神经病接受治疗已有7年。药物治疗对患者症状无改善。

结论

对该患者实施经皮神经刺激治疗。该治疗对其症状有效,且疼痛缓解效果持续了3个月。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5c9c/8342826/b56c1dbd3731/apm-20096f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5c9c/8342826/76e2cdbe4a66/apm-20096f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5c9c/8342826/b56c1dbd3731/apm-20096f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5c9c/8342826/76e2cdbe4a66/apm-20096f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5c9c/8342826/b56c1dbd3731/apm-20096f2.jpg

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本文引用的文献

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Scrambler therapy: A ray of hope for refractory chemotherapy-induced peripheral neuropathy.扰频器疗法:难治性化疗引起的周围神经病变的一线希望。
Indian J Cancer. 2020 Jan-Mar;57(1):93-97. doi: 10.4103/ijc.IJC_361_18.
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Scrambler therapy for chemotherapy neuropathy: a randomized phase II pilot trial.化学疗法神经病变的 scrambler 疗法:一项随机 II 期先导试验。
Support Care Cancer. 2020 Mar;28(3):1183-1197. doi: 10.1007/s00520-019-04881-3. Epub 2019 Jun 17.
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Scrambler therapy for the treatment of diabetic peripheral neuropathy pain: A case report.
扰频器疗法治疗糖尿病性周围神经病变疼痛:一例报告。
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Inside the Scrambler Therapy, a Noninvasive Treatment of Chronic Neuropathic and Cancer Pain: From the Gate Control Theory to the Active Principle of Information.在 scrambler 疗法中,一种治疗慢性神经性和癌症疼痛的非侵入性方法:从门控控制理论到信息的主动原理。
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Scrambler therapy may relieve chronic neuropathic pain more effectively than guideline-based drug management: results of a pilot, randomized, controlled trial. scrambler 疗法可能比基于指南的药物管理更有效地缓解慢性神经性疼痛:一项试点、随机、对照试验的结果。
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