LONG-TERM RESULTS OF PERIPHERAL CONDITIONING STIMULATION AS AN ANALGESIC MEASURE IN CHRONIC PAIN

被引:153
作者
ERIKSSON, MBE
SJOLUND, BH
NIELZEN, S
机构
[1] UNIV LUND,DEPT CLIN NEUROPHYSIOL,S-22185 LUND,SWEDEN
[2] UNIV LUND,DEPT NEUROSURG,S-22185 LUND,SWEDEN
[3] UNIV LUND,DEPT PHYSIOL,S-22185 LUND,SWEDEN
[4] UNIV LUND,DEPT PSYCHIAT,S-22185 LUND,SWEDEN
关键词
D O I
10.1016/0304-3959(79)90052-6
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
In the present study 123 patients with chronic pain, consecutively referred for symptomatic pain treatment, were given peripheral conditioning stimulation as an analgesic measure and were followed for 2 years or till they terminated the treatment. The stimulation was either conventional transcutaneous nerve stimulation (TNS) [35] of mainly cutaneous afferents with high frequency (10-100 Hz) or acupuncture-like TNS [11] where muscle nerves are activated at a low repetition rate (1-4 Hz) with small trains of stimuli. The follow-up showed that 55, 41 and 31% of the patients continued the treatment after 3, 12 and 24 months, respectively. About 30% of the patients had to use acupuncture-like TNS to get useful analgesia, defined as a desire of the patient to continue stimulation treatment. Three-quarters of the successfully relieved patients reported more than 50% pain relief as measured from visual analogue scales and half of these reported an increased social activity and a decrease of analgesic drug intake by more than 50%. Psychogenic and visceral pains were less suitable for TNS treatment. It is concluded that peripheral conditioning stimulation is a valuaable theraphy in cases of chronic pain and that both conventional and acupuncture-like TNS should be tried before considering implantable devices or destructive surgery. © 1979.
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页码:335 / 347
页数:13
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