中国组织工程研究

中国组织工程研究 ›› 2023, Vol. 27 ›› Issue (21): 3332-3336.doi: 10.12307/2023.009

• 组织工程神经材料 tissue-engineered nerve materials • 上一篇    下一篇

小型贴附式经皮神经电刺激治疗慢性颈痛

姚  远1，许苑晶2，任富超3，缪伟强4，王金武5   

  1. 上海交通大学医学院附属第九人民医院，1康复科，5骨科，上海市  200011；2上海交通大学生物医学工程学院，上海市  201100；3潍坊医学院康复医学院，山东省潍坊市  261053；4上海交通大学医学院，上海市  201100
  • 收稿日期:2021-11-15 接受日期:2021-12-24 出版日期:2023-07-28 发布日期:2022-11-24
  • 通讯作者: 王金武，博士，教授，主任医师，上海交通大学医学院附属第九人民医院骨科，上海市 200011
  • 作者简介:姚远，女，1993年生，江苏省宿迁市人，汉族，康复治疗师，主要从事肌肉骨骼相关康复方面的研究。
  • 基金资助:
    上海市科委项目(18441903700)，项目负责人：王金武

Small-sized attached transcutaneous nerve electrical stimulation in the treatment of chronic cervical pain

Yao Yuan1, Xu Yuanjing2, Ren Fuchao3, Miao Weiqiang4, Wang Jinwu5   

  1. 1Department of Rehabilitation Medicine, Shanghai Ninth People’s Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200011, China; 2School of Biomedical Engineering, Shanghai Jiao Tong University, Shanghai 201100, China; 3School of Rehabilitation Medicine, Weifang Medical University, Weifang 261053, China; 4School of Medicine, Shanghai Jiao Tong University, Shanghai 201100, China; 5Department of Orthopedic Surgery, Shanghai Ninth People’s Hospital, Shanghai Jiao Tong University School of Medicine, China
  • Received:2021-11-15 Accepted:2021-12-24 Online:2023-07-28 Published:2022-11-24
  • Contact: Wang Jinwu, MD, Professor, Chief physician, Department of Orthopedic Surgery, Shanghai Ninth People’s Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200011, China
  • About author:Yao Yuan, Rehabilitation therapist, Department of Rehabilitation Medicine, Shanghai Ninth People’s Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200011, China
  • Supported by:
    Project of Shanghai Science and Technology Commission, No. 18441903700 (to WJW)

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摘要：


文题释义：

小型贴附式经皮神经电刺激器：是一款自主研发可随身携带自行操作的具有低频电脉冲特征的治疗仪，它可直接贴附于肌肉疼痛部位，通过促进血液循环和抑制疼痛信号转导从而达到止痛目的。
慢性颈痛：是指以患者肩颈部和上肢末端疼痛、麻木等综合症状为表现且症状持续至少3个月的一类疾病，包括机械性颈痛、神经源性颈痛和继发性颈痛等。

背景：经皮神经电刺激具有无创、便捷等优点，是治疗慢性颈痛的常用物理因子治疗之一，但目前临床上使用的经皮神经电刺激设备仪器成本高、有特定的场所需求，因此有必要积极探索经济便捷有效的颈痛治疗方法。
目的：观察小型贴附式经皮神经电刺激联合颈椎健康宣教对于慢性颈痛的临床疗效。
方法：选择2020年11月至2021年7月期间在上海交通大学医学院附属第九人民医院康复科就诊的22例慢性颈痛患者为研究对象，男5例，女17例，年龄18-60岁，在给予颈椎姿势宣教和颈部肌肉居家牵伸训练的基础上，同时每日使用小型贴附式经皮神经电刺激器15 min，持续2周。观察治疗前及治疗后即刻及治疗1，2周后的疼痛目测类比评分、肌肉压痛阈值和颈部功能障碍指数变化情况。
结果与结论：①与治疗前相比，22例患者治疗后即刻及治疗1，2周后的右侧颈部疼痛评分均降低(P < 0.05)，治疗后即刻与治疗2周后的左侧颈部疼痛评分均降低(P < 0.05)；②与治疗前相比，22例患者治疗2周后的左侧与右侧斜方肌压痛阈值均提高(P < 0.05)，治疗2周后左侧与右侧C5C6棘突旁1 cm处压痛阈值均提高(P < 0.05)；③与治疗前相比，22例患者治疗2周后的颈部功能障碍指数评分降低(P < 0.05)；④结果表明，小型贴附式经皮神经电刺激结合居家训练在治疗后即刻和短期可明显改善慢性颈痛患者的颈部疼痛情况，短期内也可提高颈部压痛阈值和颈部功能。

https://orcid.org/0000-0002-7225-7759 (姚远) 

中国组织工程研究杂志出版内容重点：生物材料；骨生物材料；口腔生物材料；纳米材料；缓释材料；材料相容性；组织工程

关键词: 颈痛, 经皮神经电刺激, 压痛阈值, 颈部功能, 斜方肌, 疼痛

Abstract: BACKGROUND: Transcutaneous nerve electrical stimulation has the advantages of non-invasiveness and convenience, and is one of the commonly used physical factors for the treatment of chronic neck pain. However, the current clinical use of percutaneous nerve electrical stimulation equipment has high cost and specific site requirements. It is necessary to actively explore economic, convenient and effective methods for the treatment of cervical pain. 
OBJECTIVE: To investigate the clinical effect of small-sized attached transcutaneous nerve electrical stimulation combined with cervical health education on chronic cervical pain.
METHODS: From November 2020 to July 2021, 22 patients with chronic cervical pain were recruited in the Department of Rehabilitation Medicine, Shanghai Ninth People’s Hospital, Shanghai Jiao Tong University School of Medicine, including 5 males and 17 females, at the age of 18-60 years. On the basis of cervical posture education and cervical muscle home stretching training, a small-sized attached transcutaneous electrical nerve stimulator was used every day for 15 minutes lasting for 2 weeks. The changes of pain visual analogue scale score, muscle pressure pain threshold, and neck disability index were evaluated before treatment, immediately after the first treatment, 1 and 2 weeks after treatment.
RESULTS AND CONCLUSION: (1) Compared with baseline score, the pain score evaluated immediately after the first treatment, 1 and 2 weeks after treatment decreased significantly in 22 patients (P < 0.05). The left cervical pain scores decreased immediately and 2 weeks after treatment (P < 0.05). (2) Compared with baseline data, the pressure pain threshold of the left and right trapezius muscles in 22 patients increased significantly 2 weeks after treatment (P < 0.05). Pressure pain threshold at 1 cm from left and right C5C6 spinous process increased significantly 2 weeks after treatment (P < 0.05). (3) Compared with baseline, neck disability index decreased 2 weeks after treatment in 22 patients (P < 0.05). (4) The results showed that small-sized attached transcutaneous nerve electrical stimulation combined with home exercise could remarkably reduce cervical pain immediately and in the short term. The muscle pressure pain threshold and cervical function were also improved in the short term.

Key words: cervical pain, transcutaneous nerve electrical stimulation, pressure pain threshold, cervical function, trapezius muscle, pain

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