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硬膜外脊髄通電法の自覚的及び他覚的除痛効果について
http://hdl.handle.net/10191/39650
http://hdl.handle.net/10191/3965014c7a2c5-d7b6-4329-9015-66ce14d43453
| 名前 / ファイル | ライセンス | アクション |
|---|---|---|
106(04)_333-340.pdf (1.7 MB)
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| Item type | 紀要論文 / Departmental Bulletin Paper(1) | |||||
|---|---|---|---|---|---|---|
| 公開日 | 2016-03-15 | |||||
| タイトル | ||||||
| タイトル | 硬膜外脊髄通電法の自覚的及び他覚的除痛効果について | |||||
| タイトル | ||||||
| タイトル | 硬膜外脊髄通電法の自覚的及び他覚的除痛効果について | |||||
| 言語 | en | |||||
| 言語 | ||||||
| 言語 | jpn | |||||
| キーワード | ||||||
| 主題Scheme | Other | |||||
| 主題 | epidural spinal cord stimulation | |||||
| キーワード | ||||||
| 主題Scheme | Other | |||||
| 主題 | skin temperature | |||||
| キーワード | ||||||
| 主題Scheme | Other | |||||
| 主題 | R3 response | |||||
| キーワード | ||||||
| 主題Scheme | Other | |||||
| 主題 | transcutaneous electrical nerve stimulation | |||||
| キーワード | ||||||
| 主題Scheme | Other | |||||
| 主題 | 硬膜外脊髄通電 | |||||
| キーワード | ||||||
| 主題Scheme | Other | |||||
| 主題 | 皮膚温 | |||||
| キーワード | ||||||
| 主題Scheme | Other | |||||
| 主題 | R3反応 | |||||
| キーワード | ||||||
| 主題Scheme | Other | |||||
| 主題 | 経皮的末梢神経刺激 | |||||
| 資源タイプ | ||||||
| 資源タイプ識別子 | http://purl.org/coar/resource_type/c_6501 | |||||
| 資源タイプ | departmental bulletin paper | |||||
| その他のタイトル | ||||||
| その他のタイトル | Subjective and Objective Evaluation of Pain Relief by Epidural Spinal Cord Stimulation | |||||
| 著者 |
穂苅, 環
× 穂苅, 環 |
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| 著者別名 | ||||||
| 識別子Scheme | WEKO | |||||
| 識別子 | 129199 | |||||
| 姓名 | Hokari, Tamaki | |||||
| 抄録 | ||||||
| 内容記述タイプ | Abstract | |||||
| 内容記述 | More than 200 patients with chronic pain were treated by epidural spinal cord stimulation (ESCS). The effects of ESCS on subjective pain relief were evaluated in relation to the type of diseases. ESCS was significantly (p＜0.005) more effective in cancer pain, traumatic cervical syndrome and tabes dorsalis with comparison to other diseases. On the other hand, ESCS was significantly (p＜0.005) less effective in thromboarteritis obliterans and arteriosclerosis obliterans. Significant (p＜0.005) decrease in amount of anodynes and minor tranquilizers were noted following pain relief with ESCS. Other treatments such as oral administration of analgesics and nerve blocks (including sympathetic block) were not effective in these patients subjected to ESCS. Thus the score of our ESCS that 54.6% of the patients achieved more than 50% subjective pain relief seemed to be high with comparison to that reported by other investigators on ESCS. Subjective pain relief by ESCS was significantly correlated to the rise of skin temperature (p＜0.01) and the depression of the withdrawal reflex (p＜0.05) measured by electromyogram (R3 response). Subjective pain relief by transcutaneous electrical nerve stimulation (TENS) was also significantly (p＜0.01) correlated to pain relief by ESCS. Therefore measurements of skin temperature and R3 response during ESCS is useful for evaluation of objective pain relief. TENS should also be tried for prediction of the effect of ESCS, since the method is very simple. Thus, objective evaluations of pain relief such as measurements of skin temperature and R3 responses might be valuable for prediction of effectiveness of ESCS on the patients with chronic pain. A simple subjective estimation of pain relief with TENS might also be beneficial for prediction of the pain relieving effects of ESCS. | |||||
| 書誌情報 |
新潟医学会雑誌 en : 新潟医学会雑誌 巻 106, 号 4, p. 333-340, 発行日 1992-04 |
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| 出版者 | ||||||
| 出版者 | 新潟医学会 | |||||
| ISSN | ||||||
| 収録物識別子タイプ | ISSN | |||||
| 収録物識別子 | 00290440 | |||||
| 書誌レコードID | ||||||
| 収録物識別子タイプ | NCID | |||||
| 収録物識別子 | AN00182415 | |||||
| 著者版フラグ | ||||||
| 値 | publisher | |||||
