PDF(Pubmed)
Abstract：
Neuropathic pain (NP), arising from dysfunction in the neurological system, poses a significant challenge in pain management due to its intricate origin and unpredictable response to conventional treatments. Electroanalgesia, a collection of techniques such as transcutaneous electric nerve stimulation (TENS), peripheral electrical nerve stimulation (PENS), spinal cord stimulation (SCS), deep brain stimulation (DBS), and electroacupuncture (EA), presents a potential alternative or complementary approach. This review brings together evidence from 56 studies to evaluate the effectiveness and safety of electroanalgesia in chronic NP. It discusses the mechanisms underlying NP, the indications for electroanalgesia, and the techniques utilized, emphasizing the diverse applications and potential benefits. However, despite its potential uses, electroanalgesia has its limitations, including variable effectiveness and potential adverse effects. Furthermore, the review recognizes the limitations of the methodology and the need for further research to refine treatment protocols and enhance the understanding of electroanalgesia\'s role in comprehensive pain management strategies.
摘要：
神经性疼痛（NP），由神经系统功能障碍引起的，由于其复杂的起源和对常规治疗的不可预测的反应，对疼痛管理提出了重大挑战。电镇痛,一系列技术，如经皮神经电刺激(TENS)，外周神经电刺激（PENS），脊髓刺激（SCS），深部脑刺激（DBS），和电针（EA），提出了一种潜在的替代或补充方法。这篇综述汇集了来自56项研究的证据，以评估慢性NP中电镇痛的有效性和安全性。它讨论了NP的潜在机制，电镇痛的适应症，以及所使用的技术，强调多样化的应用和潜在的好处。然而,尽管它有潜在的用途,电镇痛有其局限性，包括可变的有效性和潜在的不利影响。此外，本综述认识到该方法的局限性和进一步研究的必要性,以完善治疗方案,增强对电镇痛在综合疼痛管理策略中的作用的认识.
