脊髓刺激技术用于严重退行性肩关节疾病合并重度慢性阻塞性肺疾病患者的疼痛治疗：一项新的适应证？

在美国，年龄大于65岁的老年人中约有70％患有骨性关节炎。同时老年人中，慢性阻塞性肺疾病（chronicobstruc-tivepulmonarydisease，COPD）的患病率也较高，所以在临床中可常见同时患有上述两种疾病的患者。COPD患者应用阿片类药物镇痛时，因有呼吸抑制的风险，无法达到最佳的镇痛目标。非药物镇痛方法对此类人群来说是个不错的选择。本文报道一例患有严重退行性肩关节疾病和重度COPD的高龄女患者，应用脊髓刺激技术进行镇痛治疗。

Approximately 70% of the United States population older than 65 yr has osteoarthritis. Chronic obstructive pulmonary disease （COPD） is also more prevalent in the elderly, and thus, the likelihood of having elderly patients with oste- oarthritis and COPD in clinical settings is significant. COPD may preclude the optimum use of opioids, thus the potential to provide pain control with nonpharmacological treatment modalities becomes a valuable option. We present the case of an eld- erly woman with severe degenerative joint disease of the shoulder and severe COPD in whom spinal cord stimulation was used to provide pain control.