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高频(10 kHz)脊髓刺激治疗局灶性、慢性术后神经性疼痛:来自比利时的前瞻性研究结果。

High-frequency (10 kHz) spinal cord stimulation for the treatment of focal, chronic postsurgical neuropathic pain: results from a prospective study in Belgium.

机构信息

Pijncentrum AZ Delta, Roeselare, 8800, Belgium.

Department of Clinical and Regulatory Affairs, Nevro Corp., Redwood City, CA 94065, USA.

出版信息

Pain Manag. 2022 Jan;12(1):75-85. doi: 10.2217/pmt-2021-0045. Epub 2021 Jul 22.

DOI:10.2217/pmt-2021-0045
PMID:34289734
Abstract

Chronic postsurgical pain (CPSP) is a common complication of surgery. This study was conducted to evaluate the efficacy and safety of paresthesia-free, 10-kHz spinal cord stimulation (SCS) as a treatment for CPSP. Subjects in this prospective, single-arm study had an average pain intensity of ≥5 cm on a 10-cm visual analog scale. The subjects who had pain relief of ≥50% (response) with temporary trial stimulation were permanently implanted with 10-kHz SCS and assessed for 1 year. At 12 months, 94% of subjects were responders to 10-kHz SCS, and 88% had pain remission (visual analog scale ≤2.5 cm). The pain relief was durable in CPSP subjects and the safety profile of 10-kHz SCS was as expected. VT005076953 (Privacy Commission of Belgium).

摘要

慢性术后疼痛(CPSP)是手术的常见并发症。本研究旨在评估无痛、10kHz 脊髓刺激(SCS)作为 CPSP 治疗方法的疗效和安全性。本前瞻性、单臂研究的受试者平均疼痛强度为 10cm 视觉模拟量表上的≥5cm。对临时试验刺激有≥50%(反应)缓解的受试者,可永久性植入 10kHz SCS,并进行 1 年评估。在 12 个月时,94%的受试者对 10kHz SCS 有反应,88%的受试者疼痛缓解(视觉模拟量表≤2.5cm)。CPSP 受试者的疼痛缓解是持久的,10kHz SCS 的安全性与预期相符。

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