脊髓电刺激治疗神经病理性疼痛的应用进展

doi:10.3969/j.issn.1006-9771.2020.06.010

摘要/Abstract

摘要：

脊髓电刺激(SCS)通过电脉冲信号阻断疼痛信号传递,干扰疼痛传导通路,激活阿片通道,刺激蓝斑系统及调节γ-氨基丁酸能系统,从而发挥抑制或减轻疼痛的作用。目前被应用于带状疱疹后神经痛、腰椎术后疼痛综合征、幻肢痛、痛性糖尿病神经病变、头面部神经痛、阴部神经痛等神经病理性疼痛的治疗中。

关键词: 脊髓电刺激, 神经病理性疼痛, 治疗, 综述

Abstract:

Spinal cord stimulation (SCS) can inhibit or alleviate pain by blocking pain signal transmission, interfering with pain pathway, activating opioid pathway, stimulating locus coeruleus system and regulating γ-aminobutyric acid ergic. It is applied in the treatment of neuropathic pain (NP), such as post-herpetic neuralgia, failed back surgery syndrome, phantom limb pain, painful diabetic neuropathy, head and facial neuropathic pain, pudendal neuralgia, etc.

Key words: spinal cord stimulation, neuropathic pain, treatment, review

中图分类号:

R741

谢亚辰,杨晓秋. 脊髓电刺激治疗神经病理性疼痛的应用进展[J]. 《中国康复理论与实践》, 2020, 26(6): 678-682.

XIE Ya-chen,YANG Xiao-qiu. Advance in Spinal Cord Stimulation for Neuropathic Pain (review)[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2020, 26(6): 678-682.

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