非神经调节临床医生神经调节指南:神经调控是什么,如何造福患者?

0 MEDICINE, RESEARCH & EXPERIMENTAL Biomolecules & biomedicine Pub Date : 2025-01-14 DOI:10.17305/bb.2024.10967
Chelsey Hoffmann, Jinlan Wang, Rushna P Ali, Ryan S D'Souza
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引用次数: 0

摘要

神经调控技术被广泛应用于各种医学亚专科,以治疗疼痛和非疼痛性疾病。然而,在针对疼痛科和神经外科以外的普通医生和医学专业的期刊中,有关神经调控主题的文章却很少出现。本研究综述了植入式神经调控设备、其各自的食品和药物管理局批准的使用适应症、标示外使用以及每种设备的相关潜在风险和益处。我们在 PubMed 和 Medline 数据库中查询了关于植入式神经调控设备的系统性综述(含或不含荟萃分析)和随机对照试验。通过文献综述,有 106 项研究符合纳入条件,其中 67 项被纳入最终综述。总之,随着神经调控临床应用的不断增加,对护理接受植入式神经调控设备患者的医疗专业人员进行支持和教育至关重要。神经调控的使用范围很可能会继续扩大到所有医学亚专科,因此,每位临床医生都应该对这种治疗方法有基本的了解。
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Neuromodulation guide for the non-neuromodulator clinician: What it is and how it can benefit patients?

Neuromodulation is being utilized across a variety of medical subspecialties to treat both painful and non-painful medical conditions. However, publications on neuromodulation topics infrequently occur in journals targeting generalists and medical specialties outside of pain medicine and neurosurgery. This study reviewed implantable neuromodulation devices, their respective Food and Drug Administration-approved indications for use, as well as off-label usage, and the associated potential risks and benefits for each device. PubMed and Medline databases were queried for systematic reviews with or without meta-analyses and randomized controlled trials of implantable neuromodulation devices. The literature review resulted in 106 studies eligible for inclusion, and 67 were included in the final review. In conclusion, as the clinical volume of neuromodulation continues to grow, supporting and educating medical professionals who care for patients that receive implanted neuromodulation devices is paramount. It is likely the use of neuromodulation will continue to expand across all medical subspecialties, and as such, every clinician should have a baseline understanding of this treatment.

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