解放军医学院学报2023，Vol.44Issue(9)：951-955,5.DOI:10.12435/j.issn.2095-5227.2023.077
脊髓电刺激治疗糖尿病周围血管病变的短期疗效
Short-term effect of spinal cord electrical stimulation on peripheral vascular disease in diabetes patients
摘要
Abstract
Background Diabetes peripheral vascular disease and diabetes foot patients,methods for improving diabetes peripheral vascular disease are gradually increasing.As a clear method to improve the circulation of lower limbs,spinal cord electrical stimulation has been concerned by specialists.How to simply and effectively use spinal cord electrical stimulation to improve the circulation of lower limbs in diabetic patients are still lacking of researches.Objective To observe the therapeutic effect of minimally invasive short course spinal cord stimulation(SCS)on diabetic patients with peripheral vascular disease.Methods From January to December in 2021,patients with diabetes peripheral vascular disease in our department were selected.Puncture cylindrical electrodes were placed in the epidural space to continuously stimulate the spinal cord for treatment.The visual analog scale(VAS)of patients at various time points before and after treatment were compared.The temperature gun was used to test the temperature differences at five points of lower limbs before and after treatment,and the infrared thermal imager was used to test the temperature change of patients'body surface,the changes of ankle brachial index of affected limb before and after operation were compared.Results Twelve males and 8 females were included with age ranging from 51 to 87 years.The VAS scores of 20 patients on the 1st,3rd and 7th day after electrode implantation(preoperative VAS was 5.6±1.7,and the VAS on the 1st,3rd and 7th day after operation were 4.0±1.3,2.5±0.8,2.3±0.7,respectively)were significantly lower than those before treatment(P<0.001);After treatment,the temperature at each detection point of the lower limb was significantly higher than that before treatment.The preoperative temperature of back of the foot was(36.03±0.13)℃,and it increased to(36.74±0.14)℃ at 7 days after treatment;the plantar temperature was(35.90±0.17)℃ before treatment,and it increased to(36.44±0.23)℃ at 7 days after treatment(P<0.001).Compared with before treatment,the infrared thermography of the healthy side and the affected side showed a significant increase in body surface temperature at 1 week after treatment.Conclusion Short-term SCS can alleviate the pain of patients with diabetes peripheral vascular disease and improve the circulation of lower limbs,with less adverse reactions,safety and effectiveness,which can be effectively applied to the treatment of diabetes foot and diabetes peripheral vascular disease.关键词
脊髓电刺激/动脉硬化闭塞症/糖尿病周围血管病/下肢循环/红外热成像仪Key words
spinal cord stimulation/arteriosclerotic occlusive disease/diabetic peripheral vascular disease/lower limb circulation/infrared thermal imager分类
医药卫生引用本文复制引用
王硕,秦新愿,高磊,刘焕宁,王靖,王江宁..脊髓电刺激治疗糖尿病周围血管病变的短期疗效[J].解放军医学院学报,2023,44(9):951-955,5.基金项目
科技部重大项目(zcsf2022005L) （zcsf2022005L）
