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脉冲射频刺激对慢性疼痛患者的疗效:一项叙述性综述。

Efficacy of pulsed radiofrequency stimulation in patients with chronic pain: a narrative review.

作者信息

Lin Wei, Lou Lingling, Chu Dawei, Lv Yidong, Tian Liujun, Wang Bin

机构信息

Department of Pain, Weifang People's Hospital, Weifang, Shandong Province, China.

College of Clinical Medicine, Shandong Second Medical University, Weifang, Shandong Province, China.

出版信息

Front Pain Res (Lausanne). 2025 Aug 12;6:1544909. doi: 10.3389/fpain.2025.1544909. eCollection 2025.

DOI:10.3389/fpain.2025.1544909
PMID:40873698
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12378335/
Abstract

OBJECTIVES

The review aimed to evaluate the efficacy of pulsed radiofrequency (PRF) in treating chronic pain by analyzing recent literature.

STUDY DESIGN

This is a narrative review of relevant articles on the effectiveness of PRF for chronic pain.

METHODS

Search for papers published between November 2014 and November 2024 in the PubMed database that use PRF to treat chronic pain. We used "Pulsed radiofrequency, PRF, Pulsed RF for Pain, chronic pain, neuropathic pain, cancer pain, and osteoarthritis pain" as search terms. Inclusion criteria are as follows: (1) Patients are clearly diagnosed with chronic pain according to the standards of the International Association for the Study of Pain; (2) Pulsed radiofrequency is used to treat chronic pain; (3) Follow-up assessments are conducted to evaluate the degree of pain relief after PRF treatment; (4) Review articles and articles not related to the treatment of chronic pain are excluded.

RESULTS

Preliminary searches yielded 368 relevant articles. After reviewing the titles and abstracts and evaluating the full texts, we ultimately included 80 articles. These articles cover research on pulsed radiofrequency treatment for various chronic pain conditions, including neuropathic pain, osteoarthritis pain, and cancer pain. The study types are diverse, including randomized controlled trials, cohort studies, and case reports. The publication dates of the articles range from 2014 to 2024, ensuring the timeliness and comprehensiveness of the research findings, which reflect the latest advancements and outcomes in the field of pulsed radiofrequency treatment for chronic pain.

LIMITATIONS

This review did not include studies indexed in databases other than PubMed.

CONCLUSION

This article reviews the research progress of pulsed radiofrequency technology in the field of chronic pain treatment. By searching and analyzing relevant literature from recent years, it summarizes the research findings on the mechanisms of PRF in treating chronic pain, its clinical applications, efficacy evaluation, and safety, and discusses future research directions. This is helpful for clinical physicians to develop more scientific treatment plans when managing chronic pain patients.

摘要

目的

本综述旨在通过分析近期文献评估脉冲射频(PRF)治疗慢性疼痛的疗效。

研究设计

这是一篇关于PRF治疗慢性疼痛有效性的相关文章的叙述性综述。

方法

在PubMed数据库中检索2014年11月至2024年11月发表的使用PRF治疗慢性疼痛的论文。我们使用“脉冲射频、PRF、用于疼痛的脉冲射频、慢性疼痛、神经性疼痛、癌痛和骨关节炎疼痛”作为检索词。纳入标准如下:(1)根据国际疼痛研究协会的标准,患者被明确诊断为慢性疼痛;(2)使用脉冲射频治疗慢性疼痛;(3)进行随访评估以评估PRF治疗后疼痛缓解程度;(4)排除综述文章和与慢性疼痛治疗无关的文章。

结果

初步检索得到368篇相关文章。在审阅标题和摘要并评估全文后,我们最终纳入了80篇文章。这些文章涵盖了脉冲射频治疗各种慢性疼痛状况的研究,包括神经性疼痛、骨关节炎疼痛和癌痛。研究类型多样,包括随机对照试验、队列研究和病例报告。文章的发表日期从2014年到2024年,确保了研究结果的及时性和全面性,反映了脉冲射频治疗慢性疼痛领域的最新进展和成果。

局限性

本综述未包括PubMed以外数据库中索引的研究。

结论

本文综述了脉冲射频技术在慢性疼痛治疗领域的研究进展。通过检索和分析近年来的相关文献,总结了PRF治疗慢性疼痛的机制、临床应用、疗效评估和安全性的研究结果,并讨论了未来的研究方向。这有助于临床医生在管理慢性疼痛患者时制定更科学的治疗方案。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a12/12378335/ba9285a304b3/fpain-06-1544909-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a12/12378335/ba9285a304b3/fpain-06-1544909-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a12/12378335/ba9285a304b3/fpain-06-1544909-g001.jpg

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本文引用的文献

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Pulsed Radiofrequency in the Management of Postsurgical Abdominal Wall Chronic Pain: A Report From a Single Oncological Center.脉冲射频治疗术后腹壁慢性疼痛:来自单一肿瘤中心的报告
Cureus. 2024 Aug 18;16(8):e67136. doi: 10.7759/cureus.67136. eCollection 2024 Aug.
2
Effectiveness of combining greater occipital nerve block and pulsed radiofrequency treatment in patients with chronic migraine: a double-blind, randomized controlled trial.联合枕大神经阻滞和脉冲射频治疗慢性偏头痛的疗效:一项双盲、随机对照试验。
Head Face Med. 2024 Sep 11;20(1):48. doi: 10.1186/s13005-024-00449-7.
3
Effectiveness of ultrasound-guided pulsed radiofrequency ablation of suprascapular nerve versus local anaesthetics with steroids in patients with chronic shoulder pain: A randomised controlled trial.
超声引导下肩胛上神经脉冲射频消融术与局部麻醉药联合类固醇治疗慢性肩部疼痛患者的疗效:一项随机对照试验。
Indian J Anaesth. 2024 Aug;68(8):731-734. doi: 10.4103/ija.ija_939_23. Epub 2024 Jul 2.
4
Effects of monopolar pulsed-capacitive dielectric radiofrequency diathermy in patients with chronic low back pain: a randomised clinical trial.单极脉冲电容式射频透热疗法治疗慢性下腰痛的疗效:一项随机临床试验。
Sci Rep. 2024 Jun 18;14(1):14059. doi: 10.1038/s41598-024-64832-9.
5
Comparison of greater occipital nerve blockade with radiofrequency and steroid in chronic migraine.比较大枕神经阻滞与射频和类固醇治疗慢性偏头痛。
Clin Neurol Neurosurg. 2024 Jul;242:108325. doi: 10.1016/j.clineuro.2024.108325. Epub 2024 May 9.
6
Effects of Pulsed Radiofrequency Duration in Patients With Chronic Lumbosacral Radicular Pain: A Randomized Double-Blind Study.脉冲射频持续时间对慢性腰骶神经根性疼痛患者的影响:一项随机双盲研究。
Neuromodulation. 2025 Feb;28(2):256-262. doi: 10.1016/j.neurom.2024.03.006. Epub 2024 May 16.
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