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美国疼痛与神经科学学会关于使用60天外周神经刺激疗法的共识指南。一个NEURON生活指南项目。

Consensus Guidelines from the American Society of Pain and Neuroscience for the Use of 60-Day Peripheral Nerve Stimulation Therapy. A NEURON Living Guideline Project.

作者信息

Gill Benjamin, Tidwell Cody, Hagedorn Jonathan M, Moreira Alexandra M, Lawandy Marco, Boyett Benjamin, Schappell Justin, Latif Usman, Pritzlaff Scott, Skaribas Ioannis, Kalia Hemant, Sheth Samir, Schnur Maricela, Li Sean, Lester Denise, Ellico Trevor, Naidu Ramana, Russo David, Massey Christopher, Ottestad Einar, Vorenkamp Kevin, Vucetic Henry, Pingree Matthew J, Abejón David, Desai Mehul J, Dickerson David, Gulati Amitabh, Sayed Dawood, Deer Timothy R

机构信息

Omaha Pain Physicians, Omaha, NE, USA.

Department of Anesthesiology and Pain Medicine, University of Minnesota, Minneapolis, MN, USA.

出版信息

J Pain Res. 2025 Jun 24;18:3117-3139. doi: 10.2147/JPR.S521788. eCollection 2025.

DOI:10.2147/JPR.S521788
PMID:40590046
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12206896/
Abstract

Peripheral nerve stimulation (PNS) has evolved with various applications and durations of therapy. In recent years, extensive data has been developed on a 60-day treatment using a novel approach. Confusion exists on the use of a trial therapy, a permanent implant, and a 60-day duration treatment. The American Society of Pain and Neuroscience (ASPN) seeks to clarify the literature associated with this neuromodulation approach. A diverse group of experts was nominated to provide opinions and guidance based on evidence-graded assessment and clinical knowledge. This guidance is the first to specifically assess the clinical use of 60-day PNS and best medical practice.

摘要

外周神经刺激(PNS)随着治疗的各种应用和持续时间不断发展。近年来,关于采用一种新方法进行60天治疗已积累了大量数据。在试验性治疗、永久性植入以及60天疗程治疗的使用方面存在困惑。美国疼痛与神经科学学会(ASPN)试图澄清与这种神经调节方法相关的文献。一个多元化的专家小组被提名,以基于循证分级评估和临床知识提供意见和指导。该指导首次专门评估60天PNS的临床应用及最佳医疗实践。

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本文引用的文献

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Clinical study of a micro-implantable pulse generator for the treatment of peripheral neuropathic pain: 12-month results from the COMFORT-randomized controlled trial.用于治疗周围神经性疼痛的微型植入式脉冲发生器的临床研究:COMFORT随机对照试验的12个月结果
Reg Anesth Pain Med. 2024 Nov 20. doi: 10.1136/rapm-2024-106099.
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Durable patient-reported outcomes following 60-day percutaneous peripheral nerve stimulation (PNS) of the medial branch nerves.内侧支神经60天经皮外周神经刺激(PNS)后的持久患者报告结局
Interv Pain Med. 2023 Mar 13;2(1):100243. doi: 10.1016/j.inpm.2023.100243. eCollection 2023 Mar.
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Recent Advances in the Design and Application of Shoulder Arthroplasty Implant Systems and Their Impact on Clinical Outcomes: A Comprehensive Review.
肩关节置换植入系统的设计与应用的最新进展及其对临床结果的影响:一项综述
Orthop Res Rev. 2024 Jul 26;16:205-220. doi: 10.2147/ORR.S312870. eCollection 2024.
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Pain intensity and opioid consumption after temporary and permanent peripheral nerve stimulation: a 2-year multicenter analysis.临时和永久性周围神经刺激后的疼痛强度与阿片类药物消耗:一项为期两年的多中心分析。
Reg Anesth Pain Med. 2024 Jul 26. doi: 10.1136/rapm-2024-105704.
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Real-world evidence of durable multi-dimensional improvement after 60-day peripheral nerve stimulation treatment used for shoulder pain.在使用外周神经刺激治疗 60 天后,真实世界证据显示肩痛的多维度持久改善。
Pain Manag. 2024;14(7):355-364. doi: 10.1080/17581869.2024.2371779. Epub 2024 Jul 23.
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Potential Cost Savings with 60-day Peripheral Nerve Stimulation Treatment in Chronic Axial Low Back Pain.60天周围神经刺激治疗慢性轴性下腰痛的潜在成本节约
Pain Ther. 2024 Oct;13(5):1187-1202. doi: 10.1007/s40122-024-00630-5. Epub 2024 Jul 9.
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