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亚甲蓝用于腰交感神经节阻滞 被引量:11

APPLICATION OF METHYLENE BLUE ON LUMBAR SYMPATHETIC GANGLION BLOCK
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摘要 目的 :观察亚甲兰在腰交感神经节阻滞术中应用的可能性并评估其治疗效果。方法 :33例腰腿部血管性或交感反射性疼痛患者 ,行第二腰椎旁交感神经节阻滞 ,给予小剂量、低浓度亚甲兰。结果 :(1)VAS评分治疗后明显低于治疗前 (P <0 .0 1) ,总有效率达 93.9%。 (2 )情绪评分治疗后明显低于治疗前 (P <0 .0 1)。结论 :小剂量低浓度的亚甲蓝可用于腰交感神经节阻滞术 ,具有良好的止痛效果。 Objective: To observe the possibility to apply methylene blue on lumber sympathetic ganglion block. Methods:Thirty-three patients suffering from pain of ischemia or sympathetic reflectivity in waist, pelvis, sacrum and lower extremities. Lumber sympathetic ganglion block on the second lumbar para-vertebra was performed, and methylene blue of micro-dosage, low-concentration was applied. Results: (1)Visual analogue scale (VAS) after treatment decreased markedly compared with that before treatment (P〈0.01). The overall effective rate was 93.9%. (2) Modified Hamilton rating scale for depression (MHAMD) of post-treatment was lower than that of pretreatment markedly(P〈0.01). Conclusion: Application of methylene blue of micro-dosage, low-concentration on lumber sympathetic ganglion block could provide precise and reversible analgesia.
出处 《中国疼痛医学杂志》 CAS CSCD 2004年第1期12-12,14,共2页 Chinese Journal of Pain Medicine
关键词 亚甲蓝 腰交感神经节阻滞 治疗 神经痛 Lumber sympathetic ganglion Ganglion block Methylene blue
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  • 1Loeser JD.Bonica's Management of pain.3rd Ed.Philadephia:Lippincott Williams & Wilkins,2001.311-312
  • 2Michael B.Psychology of pain.In:Andersson S.Chronic non-cancer pain.Manchester:MPT Press,1987.31-44

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