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超声引导下颈神经根及星状神经节阻滞联合药物治疗带状疱疹后遗神经痛的疗效观察 被引量:29
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作者 彭飞飞 周脉涛 +2 位作者 司波 李国威 余天祥 《中国现代医学杂志》 CAS 2020年第15期55-60,共6页
目的观察超声引导下颈神经根阻滞(CRB)及星状神经节阻滞(SGB)联合药物治疗带状疱疹后遗神经痛(PHN)的临床疗效及安全性。方法选取2016年1月—2019年4月中国人民解放军联勤保障部队第904医院疼痛科确诊的60例头颈部及上肢PHN患者,随机分... 目的观察超声引导下颈神经根阻滞(CRB)及星状神经节阻滞(SGB)联合药物治疗带状疱疹后遗神经痛(PHN)的临床疗效及安全性。方法选取2016年1月—2019年4月中国人民解放军联勤保障部队第904医院疼痛科确诊的60例头颈部及上肢PHN患者,随机分为对照组和实验组,每组30例。对照组:超声引导下SGB联合药物治疗;实验组:超声引导下CRB及SGB联合药物治疗。比较两组治疗前及治疗后l周、4周、3个月的视觉模拟评分法(VAS)、睡眠自评量表(SRSS)评分、抑郁自评量表(SDS)评分及神经阻滞治疗的安全性。结果治疗前后不同时间点的VAS、SRSS、SDS评分有差异(P?<0.05);治疗前后两组的VAS、SRSS、SDS评分有差异(P<0.05),实验组与对照组比较,VAS、SRSS、SDS评分较低;治疗前后两组的VAS、SRSS、SDS评分变化趋势有差异(P<0.05)。两组患者只有声音嘶哑、轻度头晕的并发症出现,差异无统计学意义(P>0.05)。结论超声引导下CRB及SGB联合药物可有效治疗PHN,是安全的治疗方法。 展开更多
关键词 带状疱疹后遗神经痛 颈神经根阻滞 星状神经节阻滞 超声引导
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Effect of oxycodone hydrochloride injection preemptive analgesia on serum inflammatory factors, neurotransmitter index and immune function in patients with laparoscopic cholecystectomy
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作者 Ting Liu Yan-Bin Tang +3 位作者 Xuan-Dong Jia Wen-Hua Wu Da-Wei Yu mai-tao zhou 《Journal of Hainan Medical University》 2017年第17期58-61,共4页
Objective:To investigate the effect of oxycodone hydrochloride injection preemptive analgesia on serum inflammatory factors, neurotransmitter index and immune function in patients with laparoscopic cholecystectomy.Met... Objective:To investigate the effect of oxycodone hydrochloride injection preemptive analgesia on serum inflammatory factors, neurotransmitter index and immune function in patients with laparoscopic cholecystectomy.Methods: According to random data table, 113 patients undergoing laparoscopic cholecystectomy were divided into control group (n=57) and observation group (n=56), patients in the control group were treated with sufentanil citrate injection analgesia, and the observation group patients were given oxycodone hydrochloride injection analgesia, level of serum inflammatory factors [tumor necrosis factor-α (TNF-α), interleukin-6 (IL-6)], neurotransmitter index [5-hydroxy tryptamine (5-HT), P substance] and immune function index [CD4+, CD8+, CD4+/CD8+] of two groups between preoperative and postoperative 1d were compared.Results: There were no significant difference in level of TNF-α, IL-6, 5-HT, P substance, CD4+, CD8+ and CD4+/CD8+ between the two groups preoperative. Compared with the level of the same group preoperative, at postoperative 1 d level of TNF-α, IL-6, 5-HT, P substance, CD8+were significantly increased, moreover level in the observation group were significantly lower compared with the control group, the difference was statistically significant;Postoperative 1 d, level of CD4+, CD4+/CD8+ in the two groups were significantly lower than the preoperative level within the group, and the observation group was significantly higher than the control group.Conclusion: Oxycodone hydrochloride injection preemptive analgesia in laparoscopic cholecystectomy can effectively reduce serum inflammatory factors and neurotransmitter index release, improve immune function, has an important clinical value. 展开更多
关键词 Laparoscopic CHOLECYSTECTOMY OXYCODONE HYDROCHLORIDE INJECTION Inflammatory factor NEUROTRANSMITTER Immune function
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