经皮穿刺脊髓电刺激治疗痛性糖尿病神经病变专家共识(2024版)  

Expert consensus on percutaneous spinal cord stimulation for the treatment of painful diabetic neuropathy(2024 edition)

作　　者：中国医师协会疼痛科医师分会 中国医师协会神经调控专业委员会 肖礼祖 金毅 胡永生[4] 冯智英[5] Pain Physicians Branch of Chinese Medical Doctor Association;Chinese Neuromodulation Society of Chinese Medical Doctor Association;Xiao Lizu;Jin Yi;Hu Yongsheng;Feng Zhiying(不详;Department of Pain Medicine,Huazhong University of Science and Technology Shenzhen Union Hospital,Shenzhen 518052,China;Department of Pain Medicine,General Hospital of Eastern Theater Command,PLA,Nanjing 210002,China;Department of Functional Neurosurgery,Xuanwu Hospital of Capital Medical University,Beijing 100053,China;Department of Pain Medicine,the First Affiliated Hospital,Zhejiang University School of Medicine,Hangzhou 310003,China)

机构地区：[1]不详 [2]华中科技大学协和深圳医院疼痛科,深圳518052 [3]中国人民解放军东部战区总医院疼痛科,南京210002 [4]首都医科大学宣武医院功能神经外科,北京100053 [5]浙江大学医学院附属第一医院疼痛科,杭州310003

出　　处：《中华医学杂志》2025年第11期805-813,共9页National Medical Journal of China

基　　金：浙江省重点研发(2022C03081);浙江省卫生健康重大科技计划(WKJ-ZJ-2404);上海交通大学交大之星(STAR)(20230103);上海市“科技创新行动计划”医学创新研究专项(21Y11906000)。

摘　　要：脊髓电刺激(SCS)用于临床治疗痛性糖尿病神经病变等慢性疼痛已有数十年,其有效性和安全性已得到广泛证实。选择合适的患者、专业的SCS植入技术、术后精准程控和定期随访是确保SCS疗效的基础,这对临床医师的理论知识和实践技能提出了更高要求。鉴于此,中国医师协会疼痛科医师分会和中国医师协会神经调控专业委员会联合组织相关领域经验丰富的临床专家,围绕患者筛选、术前准备、术中操作、术后管理以及常见不良反应防治制订了本共识,旨在提升SCS治疗痛性糖尿病神经病变的整体质量。Spinal cord stimulation(SCS)has been used for decades in clinical treatment of chronic pain such as painful diabetic neuropathy,and its efficacy and safety have been widely confirmed.The selection of appropriate patients,professional SCS implantation technology,precise postoperative programming,and regular follow-up are the basis for curative effect,which puts higher requirements on the theoretical knowledge and practical skills of clinicians.To address this need,the Physicians Branch of the Department of Pain of the Chinese Medical Doctor Association and the Professional Committee of Neuroregulation of the Chinese Medical Doctor Association organized expert clinicians in relevant fields to develop this consensus on patient selection,preoperative planning,intraoperative techniques,postoperative care,and prevention and treatment of common adverse reactions,aiming to enhance the quality of SCS therapy for patients with painful diabetic neuropathy.

关 键 词：疼痛 脊髓电刺激 神经调控 痛性糖尿病神经病变 专家共识 

分 类 号：R47[医药卫生—护理学]