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神经增强术治疗上肢复杂性区域疼痛综合征

Neuroaugmentation in the treatment of complex regional pain syndrome of the upper extremity.

作者信息

Calvillo O, Racz G, Didie J, Smith K

机构信息

Department of Anesthesiology, Baylor College of Medicine, Houston, Texas, USA.

出版信息

Acta Orthop Belg. 1998 Mar;64(1):57-63.

PMID:9586252
Abstract

The authors report their results on 36 patients with advanced stages of complex regional pain syndrome. They were treated with either spinal cord stimulation, or peripheral nerve stimulation, and in some cases with both modalities. Thirty six months after implantation the reported pain measured on visual analogue scales was an average of 53% better, this change was statistically significant. Analgesic consumption decreased by about 50% or was reportedly more effective. The authors conclude that in late stages of complex regional pain syndrome, neuroaugmentation is a reasonable option when alternative therapies have failed.

摘要

作者报告了他们对36例复杂区域疼痛综合征晚期患者的治疗结果。这些患者接受了脊髓刺激或周围神经刺激治疗,有些患者同时接受了这两种治疗方式。植入后36个月,根据视觉模拟量表测量,报告的疼痛平均改善了53%,这一变化具有统计学意义。镇痛药物的消耗量减少了约50%,或者据报道效果更佳。作者得出结论,在复杂区域疼痛综合征的晚期,当其他治疗方法失败时,神经增强是一种合理的选择。

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引用本文的文献

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Chronic pain and spinal cord stimulation.慢性疼痛与脊髓刺激
Medicine (Baltimore). 2020 May 29;99(22):e20490. doi: 10.1097/MD.0000000000020490.
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Assessment of spinal cord stimulation and radiofrequency: Chronic pain and psychological impact.脊髓刺激与射频评估:慢性疼痛及心理影响
Medicine (Baltimore). 2020 Jan;99(3):e18633. doi: 10.1097/MD.0000000000018633.
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Evidence based guidelines for complex regional pain syndrome type 1.循证指南:复杂性区域疼痛综合征 1 型
BMC Neurol. 2010 Mar 31;10:20. doi: 10.1186/1471-2377-10-20.
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Spinal cord stimulation: principles of past, present and future practice: a review.脊髓刺激:过去、现在和未来的实践原则:综述
J Clin Monit Comput. 2009 Oct;23(5):333-9. doi: 10.1007/s10877-009-9201-0.
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Neurotherapeutics. 2008 Jan;5(1):86-99. doi: 10.1016/j.nurt.2007.10.066.
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