بررسی انواع درد، روش‌های مهار آن و تأثیر TENS برروی درد

محورهای موضوعی : انرژی های تجدیدپذیر

فاطمه شیاسی ¹ , محمدرضا یوسفی ²

1 - دانشکده مهندسی برق- واحد نجف آباد، دانشگاه آزاد اسلامی، نجف آباد، ایران
2 - مرکز تحقیقات ریز شبکه های هوشمند- واحد نجف آباد، دانشگاه آزاد اسلامی، نجف آباد، ایران

تاریخ دریافت : 1399/04/22 تاریخ پذیرش : 1399/08/12 تاریخ انتشار : 1400/03/01

کلید واژه: تحریک الکتریکی عصب از طریق پوست, تسکین درد, درد حاد و مزمن, کنترل درد,

چکیده مقاله :

درد یک پدیده مهم فیزیولوژیک است که از بدو تولد تا آخرین مراحل زندگی وجود دارد و یکی از عوامل مراجعه بیمار به درمانگاه‌ها و مراکز درمانی است. کنترل درد یکی از چالش‌های عمده متخصصین جراحی و بیهوشی است. عدم کنترل مناسب درد باعث طولانی شدن زمان بستری بیماران و تحمیل هزینه‌های درمانی بیشتر به بیماران و بیمارستان‌ها و نارضایتی از نحوه درمان پزشک و مراجعات مکرر به پزشکان مختلف جهت کنترل درد می‌شود. تنها راه تسکین درد استفاده از دارو نیست؛ بلکه راه‌های دیگر با توجه به علل ایجادکننده و نوع درد وجود دارند. یک روش غیرتهاجی برای تسکین درد تحریک الکتریکی اعصاب مهاری درد از طریق پوست(TENS) است. در حین استفاده از TENS، جریان‌های الکتریکی پالسی، در سطح پوست سالم توزیع می‌‌‌شوند تا حس قوی و غیردردناک TENS ایجاد شده یا کشش عضله را در محل درد ملایم می‌کند. روش درمانی TENS از انتقال اطلاعات مربوط به درد به بالا در سیستم عصبی مرکزی ممانعت کرده و به ‌نظر می‌رسد که برای دردهای حاد و مزمن مفید است. در مطالعه حاضر، تأثیر استفاده از TENS برروی انواع درد مورد بررسی قرار گرفته و به نتایج مثبت تسکین درد عضلانی-اسکلتی و درد پس از عمل جراحی اشاره می‌کند، اگرچه بیشتر مطالعات سیستماتیک، بی‌نتیجه بودند.

چکیده انگلیسی:

Pain is an important physiological phenomenon that occurs from birth to the last stages of life. Pain is one of the causes of the patient's referral to clinics and treatment centers. Pain control is one of the major challenges for surgeons and anesthesiologists. Lack of proper pain control lead to hospital­ization and imposes higher treatment costs for patients and hospitals. It causes dissatisfaction with the medical treatment and frequent visits to medicians to control the pain. Medication is not only way for pain reduction; depending on the cause and type of pain, other ways can employ. Electrical stimulation of nerve pain inhibitors through the skin (TENS) is a noninvasive technique to relieve pain. During TENS, pulsed electrical currents are administered across the intact surface of the skin to generate strong nonpainful TENS sensations or mild muscle twitching at the site of pain. This technique inhibits onward transmission of nociceptive (pain-related) information in the central nervous system and appears to be beneficial for acute and chronic pain. In the present study, the effect of TENS on different types of pain investigated and positive outcomes in muscu­los­keletal relief and post-operative pain suggested, although many systematic reviews were inconclusive. 

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