 英语晨读 · 山东省立医院疼痛科英语晨读已经坚持10余年的时间了，每天交班前15分钟都会精选一篇英文文献进行阅读和翻译。一是可以保持工作后的英语阅读习惯，二是可以学习前沿的疼痛相关知识。我们会将晨读内容与大家分享，助力疼痛学习。 本次文献选自Sheldon B , Staudt M D , Williams L , et al. Spinal cord stimulation programming: a crash course[J]. Neurosurgical Review, 2020:1-12. An interesting application of different waveforms may be in their potential to “salvage” therapy in patients who have lost efficacy [71]. This can entail switching a legacy IPG with limited waveform capabilities for a new device from the same manufacturer, or in some instances can involve changing the IPG from one manufacturer to another in order to deliver a proprietary waveform. Other novel strategies include the use of random stimulation patterns, with the hypothesis that ran-domization will prolong the time it takes the body to habituate to stimulation [72]. 一种有趣的应用可能是一种波形可能会对另外一种治疗失败的患者有效 [71]。这就需要将具有有限波形功能的旧IPG更换为同一厂家的新的IPG，或者在某些情况下，为了获得合适波形，更换为新厂家的IPG。其他新策略包括使用随机刺激模式，随机刺激将延长身体适应刺激所需的时间[72]。 Conclusions SCS is a rapidly evolving tool for treating neuropathic pain. It is vital that providers maintain a fundamental knowledge of the basics of programming to ensure they are meeting their pati ents’ needs. Adjust ing frequency, am pli tude, contact selection, and pulse width properly within open-loop systems allows for a variety of programs for pain relief. Understanding of the potential of closed-loop systems will further inform device selection. 总结 SCS是一种发展快速的治疗神经性疼痛的工具。至关重要的是，医生必须掌握编程的基本知识，以确保能够满足患者的需求。在开环系统中，适当调整频率、振幅、触点选择和脉宽，通过多种程序来缓解疼痛。理解闭环系统的特点将进一步指导设备的选择。 |
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