周围神经病是糖尿病常见的远期并发症。作者采用位置引导探针电脊髓刺激(ESCS)治疗对保守治疗药物无反应的慢性糖尿病神经病的疼痛。 10例慢性感觉运动糖尿病神经病患者。均有严重症状的神经病(平均疼痛5±2.1年),对保守治疗药物无效。神经病是采用Dyck’s记分分期,全部是3期严重症状/残疾的神经病。全部患者在服常用止痛剂的2天内每4小时作视觉类似物记分(VAS)的基线背景疼痛的测定。病房护士用一根10cm规格的尺标记一端“无疼痛”,另一端“极疼痛”,标定在患者不能看到的一侧,记录疼痛的强度,感觉超过前4小时的峰点疼痛也用VAS测定。第3天用一根ESCS电极插入至硬膜外,通过外部一个射—频传送器诱发持续刺激。3 Peripheral neuropathy is a common long-term complication of diabetes. The authors used position-guided probe electrostimulation (ESCS) to treat painful chronic diabetic neuropathy that did not respond to conservative treatment. Ten patients with chronic sensory movement diabetic neuropathy. Neuropathies with severe symptoms (mean pain 5 ± 2.1 years) were not effective for conservative treatment. Neuropathy is Dyck’s score staging, all three stage severe symptoms / disabling neuropathy. All patients underwent baseline visual acuity scoring (VAS) every 4 hours within 2 days of taking the usual analgesic. The ward nurse recorded a “no pain” at one end with a 10 cm gauge and a “very painful” at the other end, calibrated to the side that the patient could not see, recorded the intensity of the pain, and felt more painful than the peak at the first 4 hours Determination. On day 3, an ESCS electrode was inserted into the epidural space and sustained stimulation was induced by an external radio-frequency transmitter. 3