重复经颅磁刺激治疗脊髓损伤后慢性神经病理性疼痛8例报道

Repetitive Transcranial Magnetic Stimunation for Neuropathic Pain after Spinal Cord Injury: Eight Cases Report

目的探讨重复经颅磁刺激(rTMS)对脊髓损伤后慢性神经病理性疼痛的疗效。方法 2014年6月至2015年12月,8例脊髓损伤后慢性神经病理性疼痛患者应用rTMS治疗5周,治疗前后采用疼痛数字分级量表和睡眠状况自评表进行评定。结果治疗后,患者疼痛数字分级评分下降4~6分,疼痛程度由重度降至轻中度;睡眠状况自评分下降9~20分。结论 rTMS对部分脊髓损伤后慢性神经病理性疼痛有效,可与药物联合治疗。

Objective To observe the effect of repetitive transcranial magnetic stimunation （rTMS） on neuropathic pain after spinal cord injury. Methods From June, 2014 to December, 2015, eight spinal cord injury patiens with neuropathic pain were treated with rTMS for five weeks. They were assessed with Numerical Rating Scale of pain and Self-Rating Scale of Sleep before and after treatment. Results After treatment, the score of Numerical Rating Scale decreased 4 to 6 points, namely from severe pain to mild to moderate pain. The score of Self-Rating Scale of Sleep decreased 9 to 20 points. Conclusion rTMS may relieve neuropathic pain after spinal cord injury, and can be combined with medcine.