干细胞治疗作为慢性疼痛管理的潜力:系统综述

Putu Yogi Pramana, Agung B S Satyarsa, I. Wijayanti, A. A. R. Sudewi
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摘要

背景:干细胞作为神经退行性疾病和疼痛的一种治疗方式,已被广泛应用,并取得了良好的效果,但最近才被用于慢性疼痛的治疗。目的:本研究旨在回顾干细胞治疗在慢性疼痛治疗中的作用。方法:使用2013年至2023年在Pubmed、EMBASE(摘录医学数据库)和ScienceDirect上发表的使用PRISMA(首选系统评价和荟萃分析报告项目)方法的临床报告,并使用搜索工具定位和招募正在进行的、目前正在进行的临床研究的患者。搜索词包括“慢性疼痛”、“治疗”、“手术”、“神经病变”、“椎间盘成因”、“形态”、“肌肉骨骼”和“干细胞”。然后使用批判性评估技能计划问卷对研究的质量进行评估。结果:与该关键词相关的研究约186篇,符合本文纳入标准的研究约11篇。基于本研究结果,我们发现干细胞治疗以MSC和ADS的形式所发挥的作用,作为一种治疗患者慢性疼痛的方法具有显著的效果。根据VAS(视觉模拟量表)、ODI (Oswestry残疾指数)和NRS(数字评定量表)评估,疼痛质量下降,患者功能增加。结论:虽然目前的研究表明使用mscs作为一种治疗椎间盘、神经性和肌肉骨骼疼痛的新方法,但需要进一步的研究来证明这种方式的有效性和安全性
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THE POTENTIAL OF STEM CELL THERAPY AS A MANAGEMENT OF CHRONIC PAIN: A SYSTEMATIC REVIEW
Background: Stem cells has previously been used with promising results as a therapeutic modality for neurodegenerative diseases and pain but has recently been introduced as a treatment for chronic pain. Objective: This study aims to review the available literature on the role of stem cell therapy as a treatment for chronic pain. Methods: A review of clinical reports using the PRISMA (Preferred Reporting Items for Systematic Review and Meta-Analysis) method published in Pubmed, EMBASE (Excerpta Medica Database), and ScienceDirect were used from 2013 to 2023, and The search tool was used to locate and enroll patients for ongoing, presently active clinical studies. The search terms used included “chronic pain,” “therapy,” “prosedure” “neuropathic,” “discogenic,” “modality,” “musculoskeletal” and “stem cell.” The research was then carried out to assess the quality of the study using the Critical Appraisal Skills Program questionnaire. Results: There were around 186 studies related to the keyword, and only about 11 studies that met the inclusion criteria included in this article were obtained. Based on the results of the study, it was found that the role of stem cell therapy in the form of MSC and ADS, which was used, had a significant effect as a chronic pain therapy in patients. A decrease in the quality of pain was obtained based on VAS (Visual Analog Scale), ODI (Oswestry Disability Index), and NRS (Numeric Rating Scale) assessments as well as an increase in patient function. Conclusion: Although current research suggesting the use of mscs as a novel therapy method for disc, neuropathic, and musculoskeletal pain, further studies are required to demonstrate the efficacy as well as security of this modality
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