Li Shun-Lian, Li Jing, Xu Hui-Chan, Liu Yu-Cong, Yang Ting-Ting, Yuan Hao
Department of Anesthesia Zunyi Medical University Zunyi Guizhou China.
School of Basic Medicine Kunming Medical University Kunming Yunnan China.
Ibrain. 2022 Mar 2;8(1):23-36. doi: 10.1002/ibra.12020. eCollection 2022 Spring.
Neuropathic pain (NP) is a long-term recurrent disease caused by somatosensory nervous system injury, with spontaneous pain, hyperalgesia, ectopic pain, and paresthesia as the main clinical manifestations. It adversely affects patients' quality of life. NP treatments often include medication, physical therapy, and invasive therapy; the first two therapies are generally ineffective for some NP patients. These patients sometimes rely on invasive therapy to alleviate pain. Spinal cord stimulation (SCS) is a very effective therapeutic method. SCS is a neuroregulatory method that involves placing the electrodes on the corresponding painful spinal cords. Pain is greatly alleviated after SCS. SCS has been proven to be an effective therapeutic method for the treatment of neurological pain. Furthermore, SCS provides a feasible approach for patients with unsuccessful drug treatment. This paper reviews the relevant literature of spinal cord electrical stimulation, focusing on the mechanism of action, clinical application, clinical efficacy and technical progress of spinal cord electrical stimulation. SCS is widely used in the treatment of NP diseases such as postherpetic neuralgia, back surgery failure syndrome, and phantom limb pain. With advancements in science and technology, tremendous progress has also been made in the spinal cord electrical stimulation method and good momentum has been maintained.
神经病理性疼痛(NP)是一种由躯体感觉神经系统损伤引起的长期复发性疾病,主要临床表现为自发痛、痛觉过敏、异位痛和感觉异常。它对患者的生活质量产生不利影响。NP的治疗通常包括药物治疗、物理治疗和侵入性治疗;前两种治疗方法对一些NP患者通常无效。这些患者有时依靠侵入性治疗来缓解疼痛。脊髓刺激(SCS)是一种非常有效的治疗方法。SCS是一种神经调节方法,涉及将电极放置在相应的疼痛脊髓上。SCS后疼痛得到极大缓解。SCS已被证明是治疗神经病理性疼痛的有效治疗方法。此外,SCS为药物治疗失败的患者提供了一种可行的方法。本文综述了脊髓电刺激的相关文献,重点关注脊髓电刺激的作用机制、临床应用、临床疗效和技术进展。SCS广泛应用于治疗疱疹后神经痛、脊柱手术失败综合征和幻肢痛等NP疾病。随着科学技术的进步,脊髓电刺激方法也取得了巨大进展,并保持了良好的发展势头。