Kết quả điều trị đau thần kinh trung ương ở bệnh nhân sau đột quỵ não bằng từ trường xuyên sọ=Management of central neuropathic pain in post-stroke patients using transcranial magnetic stimulation

0 Người đánh giá. Xếp hạng trung bình 0

Tác giả: Hoàng Tuấn Dũng Bùi, Trọng Phước Đỗ, Viết Thắng Lê

Ngôn ngữ: vie

Ký hiệu phân loại:

Thông tin xuất bản: Tạp chí Y học Việt Nam (Tổng hội Y học Việt Nam), 2024

Mô tả vật lý: tr.379-384

Bộ sưu tập: Metadata

ID: 477915

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Nghiên cứu nhằm đánh giá tác động của kích thích từ trường xuyên sọ lặp lại (repetitive Transcranial Magnetic Stimulation - rTMS) điều trị đau thần kinh trung ương ở bệnh nhân (BN) sau đột quỵ. Đối tượng và phương pháp: Gồm 14 BN có tiền sử đột quỵ. Tiêu chí lựa chọn bao gồm đột quỵ lần đầu, tổn thương bán cấp hoặc mạn tính, và không có các bệnh lý thần kinh cấp tính khác, đang tiến triển. Đánh giá được thực hiện trước và sau một tháng điều trị bằng rTMS. Đau thần kinh được đánh giá bằng thang điểm Douleur Neuropathique en 4 Questions (DN4), và cường độ đau được đo bằng thang điểm Analog Trực quan (VAS). Tất cả các BN tiếp tục nhận các phương pháp điều trị tiêu chuẩn và phục hồi chức năng thần kinh phù hợp như khuyến nghị cho đột quỵ. Kết quả: Tuổi trung bình (58,2±16,1) năm, nam/nữ: 8/6, có đau thần kinh. Điểm VAS trung bình giảm đáng kể sau khi điều trị bằng rTMS. Kết luận: Kết quả sơ bộ cho thấy rTMS có hiệu quả và an toàn trong điều trị đau thần kinh khó kiểm soát ở BN sau đột quỵ với hiệu quả ngắn hạn. rTMS có triển vọng trong việc giảm đau mạn tính, và các thông số lâm sàng này có thể cung cấp thông tin cho các nghiên cứu tiếp theo về ứng dụng rTMS trong kiểm soát đau.This study aims to evaluate the impact of repetitive Transcranial Magnetic Stimulation (rTMS) on the treatment of central neuropathic pain in post-stroke patients. Subjects and methods: The study included 14 patients with a history of stroke. Selection criteria included first-time stroke, subacute or chronic lesions, and no other acute, progressive neurological conditions. Assessments were conducted before and after one month of rTMS treatment. Neuropathic pain was evaluated using the Douleur Neuropathique en 4 Questions (DN4) scale, and pain intensity was measured using the Visual Analog Scale (VAS). All patients continued to receive standard treatments and appropriate neurological rehabilitation as recommended for stroke. Results: The study included 14 post-stroke patients (mean age 58.2 ± 16.1 years, 8 males, and 6 females) with neuropathic pain. The average VAS score significantly decreased after rTMS treatment. Conclusion: Preliminary results indicate that rTMS is effective and safe in treating refractory neuropathic pain in post-stroke patients with short-term efficacy. rTMS shows promise in reducing chronic pain, and these clinical parameters may inform further studies on the application of rTMS in pain management.

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