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使用AT-04便携式磁场发生装置进行神经调节对一名神经性疼痛患者的镇痛效果:病例报告

Analgesic effect of neuromodulation using the AT-04 portable magnetic field-generating device in a patient with neuropathic pain: a case report.

作者信息

Sawada Atsushi, Yamakage Michiaki

机构信息

Department of Anesthesiology, Sapporo Medical University School of Medicine, South 1, West 16, Chuo-Ku, Sapporo, 060-8543, Japan.

出版信息

JA Clin Rep. 2024 Feb 10;10(1):10. doi: 10.1186/s40981-024-00694-4.

Abstract

BACKGROUND

Neuromodulation by magnetic field through the AT-04 (ait® (AT-04); Peace of Mind Co., Ltd., Kumamoto, Japan) has improved allodynia in neuropathic pain model rats. This report focuses on neuromodulation through magnetic field exposure using the AT-04 that provided an analgesic effect in a patient with neuropathic pain.

CASE PRESENTATION

A 47-year-old man presented with flaccid paralysis and extensive neuropathic pain and scored 7 on the 11-point Numerical Rating Scale (NRS) for his left upper limb. The patient was treated with neuromodulation by magnetic field exposure using the AT-04. Baseline NRS scores were obtained three times daily during the baseline period (days 1-5). Magnetic field exposure was then performed for 30 min three times daily (morning, noon, and evening) at home for 36 days, which was termed the intervention period (days 6-41). During the baseline period, the median NRS score was 7 and the baseline NRS score for calculating the percentage of nonoverlap data (PND) was 6. During the intervention period, the median NRS score was 4 and the PND value of the NRS score was 77.8% (28/36). Neuromodulation by magnetic field exposure using the AT-04 effectively decreased the patient's NRS score. The patient had no adverse effects during the intervention period.

CONCLUSIONS

Neuromodulation by magnetic field exposure using the AT-04 was effective in decreasing the NRS score in a patient with neuropathic pain. The AT-04 portable magnetic field-generating device shows potential as a therapeutic option for refractory neuropathic pain.

摘要

背景

通过AT - 04(ait®(AT - 04);日本熊本安心株式会社)磁场进行的神经调节改善了神经性疼痛模型大鼠的痛觉过敏。本报告重点关注使用AT - 04通过磁场暴露进行的神经调节,该方法对一名神经性疼痛患者产生了镇痛效果。

病例介绍

一名47岁男性出现弛缓性麻痹和广泛的神经性疼痛,其左上肢在11点数字评定量表(NRS)上得分为7分。该患者接受了使用AT - 04通过磁场暴露进行的神经调节治疗。在基线期(第1 - 5天),每天三次获取基线NRS评分。然后在居家期间每天三次(上午、中午和晚上)进行30分钟的磁场暴露,持续36天,此为干预期(第6 - 41天)。在基线期,NRS评分中位数为7分,用于计算非重叠数据百分比(PND)的基线NRS评分为6分。在干预期,NRS评分中位数为4分,NRS评分的PND值为77.8%(28/36)。使用AT - 04通过磁场暴露进行的神经调节有效降低了患者的NRS评分。患者在干预期未出现不良反应。

结论

使用AT - 04通过磁场暴露进行的神经调节可有效降低神经性疼痛患者的NRS评分。AT - 04便携式磁场发生装置显示出作为难治性神经性疼痛治疗选择的潜力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5f02/10857986/3f45c8759fbc/40981_2024_694_Fig1_HTML.jpg

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