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抗磁疗法对一名患有退行性颈椎病且对药物不耐受患者的治疗效果。

Effect of diamagnetic therapy to manage a patient with degenerative cervical myelopathy and drug's intolerance.

作者信息

Rania Vincenzo, Marcianò Gianmarco, Vocca Cristina, Palleria Caterina, Muraca Lucia, Romeo Pietro, Torres Felipe, Gallelli Luca

机构信息

Operative Unit of Pharmacology and Pharmacovigilance, "Renato Dulbecco" University Hospital, Catanzaro, Italy.

Research Center FAS@UMG, Department of Health Science, University Magna Graecia, Catanzaro, Italy.

出版信息

Pain Manag. 2025 Jul;15(7):373-378. doi: 10.1080/17581869.2025.2523729. Epub 2025 Jun 22.

Abstract

Degenerative cervical myelopathy (DCM) is a common condition with a prevalence of 24.2% in the healthy population, and 35.3% in patients older than 60 years. The management of this clinical condition is difficult and implies chronic management of patients. The risk of drug abuse is very high and may lead to important long-term consequences. Finding a therapeutic option capable to reduce the number of prescribed drugs and with few side effects is very important in DCM. We report a 44-year-old Caucasian woman who was diagnosed with DCM. Her medical history revealed that despite using multiple medications, she did not show any signs of improvement. She declined the surgical treatment as well. Following clinical assessment, a diamagnetic pump treatment with pulsed electromagnetic fields for 3 months (once-twice weekly for 30 min, magnetic flux density 86 mt at the site of treatment) resulted in a clinical improvement. The benefits of diamagnetic therapy were three-faced including pain improvement, functional status, and imaging (magnetic resonance imaging (MRI) showing bone marrow edema reduction and myelopathy improvement). This is the first case report in our knowledge to prove the effectiveness of diamagnetic therapy in DCM, alongside imaging and functional improvement.

摘要

退行性颈椎脊髓病(DCM)是一种常见病症,在健康人群中的患病率为24.2%,在60岁以上患者中为35.3%。这种临床病症的管理难度较大,意味着需要对患者进行长期管理。药物滥用风险非常高,可能导致严重的长期后果。在DCM中,找到一种能够减少处方药数量且副作用少的治疗选择非常重要。我们报告了一名44岁的白种女性,她被诊断为DCM。她的病史显示,尽管使用了多种药物,但她并未表现出任何改善迹象。她也拒绝了手术治疗。经过临床评估,采用脉冲电磁场进行抗磁泵治疗3个月(每周一次或两次,每次30分钟,治疗部位的磁通密度为86毫特斯拉)后,临床症状得到改善。抗磁疗法的益处体现在三个方面,包括疼痛改善、功能状态以及影像学表现(磁共振成像(MRI)显示骨髓水肿减轻和脊髓病改善)。据我们所知,这是首例证明抗磁疗法在DCM中有效性的病例报告,同时伴有影像学和功能改善。

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本文引用的文献

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Degenerative Cervical Myelopathy: An Overview.退行性颈椎脊髓病:概述
Cureus. 2023 Dec 12;15(12):e50387. doi: 10.7759/cureus.50387. eCollection 2023 Dec.
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Degenerative Cervical Myelopathy: Evaluation and Management.退行性颈脊髓病:评估与管理。
Orthop Clin North Am. 2022 Oct;53(4):509-521. doi: 10.1016/j.ocl.2022.05.007. Epub 2022 Sep 14.
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[Degenerative cervical myelopathy].[退行性颈椎脊髓病]
Rev Med Chil. 2022 Mar;150(3):339-352. doi: 10.4067/S0034-98872022000300339.
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The Effect of Pulsed Electromagnetic Fields on Angiogenesis.脉冲电磁场对血管生成的影响。
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