颈脊髓损伤后神经病理性疼痛:1例报告与综述
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1.武汉科技大学医学院;2.武汉科技大学附属普仁医院骨科

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国家自然科学青年基金项目、湖北省卫生健康委员会面上科研项目、湖北省卫生和计划生育委员会联合基金项目、中国金属学会冶金安全与健康分会健康卫生科研项目


Neuropathic pain after cervical spinal cord injury:a case report with literature review
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1.School of Medicine, Wuhan University of Science and Technology;2.Department of Orthopedics, Puren Hospital Affiliated to Wuhan University of Science and Technology

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    摘要:

    脊髓损伤(Spinal Cord Injury,SCI)后神经病理性性疼痛(Neuropathic Pain,NP)是一种难以处理的并发症,因为它会使病人严重衰弱,并可能导致不活动和心理问题,如抑郁和焦虑。神经病理性疼痛的治疗目前还未取得重大的突破,既往研究聚集于药物等保守治疗。脊髓电刺激作为一种侵袭性方式作用和疗效确切,逐渐被临床所接受。但研究主要聚集在腰腿痛领域,对脊髓损伤后上肢疼痛的运用还很少。本文报告脊髓电刺激 (Spinal Cord Stimulation, SCS)治疗 1 例脊髓损伤后上肢神经病理性疼痛的患者,并对脊髓电刺激治疗神经病理性疼痛的文献进行综述,为临床医生提供建议。

    Abstract:

    Neuropathic Pain (NP) after Spinal Cord Injury (SCI) is a difficult complication to manage as it is severely debilitating and may lead to immobility and psychological problems such as depression and anxiety. Limited advancements have been achieved in the management of neuropathic pain, with previous studies primarily focusing on conservative drug-based therapies. However, spinal cord electrical stimulation has emerged as a promising invasive approach with established effectiveness and efficacy. Nonetheless, its application has predominantly centered around addressing low back and leg pain, leaving a scarcity of research regarding upper extremity pain following spinal cord injury.This article reports a case of Spinal Cord Stimulation (SCS) in the treatment of neuropathic pain after spinal cord injury and reviews the literature on spinal cord stimulation in the treatment of neuropathic pain, to provide suggestions for clinicians.

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  • 收稿日期:2023-05-12
  • 最后修改日期:2023-06-30
  • 录用日期:2024-01-05
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