化疗引起的周围神经病变的治疗:当前管理选项综述及扰频疗法的潜在作用

The treatment of chemotherapy-induced peripheral neuropathy: a review of current management options and a potential role for scrambler therapy.

作者信息

Aboumerhi Hassan, Vucetic Henry, Gruenzel Andrew, Moftakhar Bahar, Gupta Mona, Rao Santosh K, Staudt Michael D

机构信息

Department of Anesthesiology and Perioperative Medicine, Division of Pain Medicine, University Hospitals Cleveland Medical Center, Cleveland, OH, United States.

Department of Hematology and Oncology, University Hospitals Cleveland Medical Center, Seidman Cancer Center, Cleveland, OH, United States.

出版信息

Front Pain Res (Lausanne). 2025 Jul 7;6:1607102. doi: 10.3389/fpain.2025.1607102. eCollection 2025.

Abstract

Chemotherapy-induced peripheral neuropathy (CIPN) presents a growing medical and financial burden on patients and the healthcare system alike. This has been treated with conservative and interventional care limited by efficacy, side effects, and lack of coverage. As such, there is an unmet treatment need for effective non-invasive or minimally invasive therapies for the treatment of CIPN. Scrambler therapy (ST) is a peripheral, non-invasive neuromodulation technique, which uses transcutaneous electrical stimulation to modulate pain signals. ST has shown mixed results in clinical trials; while some patients report symptom relief, more robust evidence is required before it can be widely recommended. This review article outlines the burden of CIPN and the current state of treatment, including pharmacological and interventional therapies. The emerging data on ST and its role in treating CIPN is highlighted, including a review of published observational and randomized controlled trials. We also discuss the gaps and challenges ahead in establishing this therapy as a standard of care.

摘要

化疗引起的周围神经病变(CIPN)给患者和医疗保健系统都带来了日益沉重的医疗和经济负担。针对这一病症的治疗方法包括保守治疗和介入治疗,但都受到疗效、副作用以及医保覆盖范围的限制。因此,对于治疗CIPN的有效非侵入性或微创疗法仍存在未满足的治疗需求。扰频疗法(ST)是一种外周非侵入性神经调节技术,它利用经皮电刺激来调节疼痛信号。ST在临床试验中的结果不一;虽然一些患者报告症状有所缓解,但在能够广泛推荐之前,还需要更有力的证据。这篇综述文章概述了CIPN的负担以及当前的治疗状况,包括药物治疗和介入治疗。文章重点介绍了关于ST及其在治疗CIPN中作用的新数据,包括对已发表的观察性研究和随机对照试验的综述。我们还讨论了将这种疗法确立为护理标准面临的差距和挑战。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f20/12277255/0cacd99e1158/fpain-06-1607102-g001.jpg

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