지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2011.1
- 수록면
- 154 - 158 (5page)
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초록· 키워드
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Background:Postherpetic neuralgia (PHN) is usually managed pharmacologically. It is not uncommon for patients with chronic kidney disease (CKD) to suffer from PHN. It is difficult to prescribe a sufficient dose of anticonvulsants for intractable pain because of the decreased glomerular filtration rate. If the neural blockade and pulsed radiofrequency ablation provide only short-term amelioration of pain, spinal cord stimulation (SCS) with a low level of evidence may be used only as a last resort. This study was done to evaluate the efficacy of spinal cord stimulation in the treatment of PHN in patients with CKD.
Methods:PHN patients with CKD who needed hemo-dialysis who received insufficient relief of pain over a VAS of 8 regardless of the neuropathic medications were eligible for SCS trial. The follow-up period was at least 2 years after permanent implantation.
Results:Eleven patients received percutaneous SCS test trial from Jan 2003 to Dec 2007. Four patients had successfully received a permanent SCS implant with their pain being tolerable at a VAS score of less than 3 along with small doses of neuropathic medications.
Conclusions:SCS was helpful in managing tolerable pain levels in some PHN patients with CKD along with tolerable neuropathic medications for over 2 years. (Korean J Pain 2011; 24: 154-157)
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등록된 정보가 없습니다.
참고문헌 (19)
참고문헌 신청
Benzon HT / 2009 / Evidence-based case report: the prevention and management of postherpetic neuralgia with emphasis on interventional procedures / Reg Anesth Pain Med 34 :
Choe H / 1990 / A clinical study on the treatment of postherpetic neuralgia / J Korean Pain Soc 3 : 131 ~ 138
Costantini A / 2005 / Spinal cord stimulation / Minerva Anestesiol 71 : 471 ~ 474
Harke H / 2002 / Spinal cord stimulation in postherpetic neuralgia and in acute herpes zoster pain / Anesth Analg 94 : 694 ~ 700
Iseki M / 2009 / Efficacy of limited-duration spinal cord stimulation for subacute postherpetic neuralgia / Ann Acad Med Singapore 38 : 1004 ~ 1006
Choe H / 1990 / A clinical study on the treatment of postherpetic neuralgia / J Korean Pain Soc 3 : 131 ~ 138
Costantini A / 2005 / Spinal cord stimulation / Minerva Anestesiol 71 : 471 ~ 474
Harke H / 2002 / Spinal cord stimulation in postherpetic neuralgia and in acute herpes zoster pain / Anesth Analg 94 : 694 ~ 700
Iseki M / 2009 / Efficacy of limited-duration spinal cord stimulation for subacute postherpetic neuralgia / Ann Acad Med Singapore 38 : 1004 ~ 1006
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