Department of Anesthesiology, Yale University School of Medicine, 333 Cedar St, New Haven, CT, TMP306510, USA.
Medical Student-3, Yale University School of Medicine, New Haven, USA.
Curr Pain Headache Rep. 2023 Sep;27(9):321-327. doi: 10.1007/s11916-023-01143-0. Epub 2023 Jul 31.
Peripheral nerve stimulation has seen a recent upsurge in utilization for various chronic pain conditions, specifically from a neuropathic etiology, where a single peripheral nerve can be pinpointed as a culprit for pain.
There is conflicting evidence about the efficacy and long-term outcomes of peripheral nerve stimulation for chronic pain, with most studies being small sized. The focus of this article is to review available evidence for the utilization of peripheral nerve stimulation for chronic pain syndromes as well as upcoming evidence in the immediate postoperative realm. The indications for the use of PNS have expanded from neuropathic pain such as occipital neuralgia and post-amputation pain, to more widespread disease processes such as chronic low back pain. Percutaneous PNS delivered over a 60-day period may provide significant carry-over effects including pain relief, potentially avoiding the need for a permanently implanted system while enabling improved function in patients with chronic pain.
外周神经刺激术在各种慢性疼痛疾病中的应用近来有所增加，特别是对于神经病理性病因，其中单一的外周神经可以被确定为疼痛的罪魁祸首。
外周神经刺激术治疗慢性疼痛的疗效和长期结果存在矛盾的证据，大多数研究规模较小。本文的重点是回顾外周神经刺激术治疗慢性疼痛综合征的现有证据，以及近期术后领域的新证据。外周神经刺激术的适应证已从神经病理性疼痛（如枕神经痛和截肢后疼痛）扩展到更广泛的疾病过程，如慢性腰痛。在 60 天内进行经皮外周神经刺激可能会产生显著的持续效应，包括缓解疼痛，可能避免需要永久性植入系统，同时使慢性疼痛患者的功能得到改善。
