Following an uneventful delivery under epidural analgesia, a 17 year old female patient was referred to the Pain Clinic because of numbness and pain of the left big toe for 2 and a half Months. An Orthopedic consultat...Following an uneventful delivery under epidural analgesia, a 17 year old female patient was referred to the Pain Clinic because of numbness and pain of the left big toe for 2 and a half Months. An Orthopedic consultation had ruled out foot injury and concluded that the pain was radicular and secondary to nerve damage from the epidural analgesia. A Pain Clinic evaluation made the diagnosis of myofascial pain which was successfully treated with trigger pint block using normal saline.展开更多
目的研究罗哌卡因与氟比洛芬酯两种药物在局麻膝关节镜围手术期的镇痛效果。方法将72例膝关节镜局麻手术患者随机分为安慰剂(P)组:脂肪乳+0.9%氯化钠注射液;氟比洛芬酯(F)组:氟比洛芬酯+0.9%氯化钠注射液;罗哌卡因(R)组:罗哌卡因+脂肪乳...目的研究罗哌卡因与氟比洛芬酯两种药物在局麻膝关节镜围手术期的镇痛效果。方法将72例膝关节镜局麻手术患者随机分为安慰剂(P)组:脂肪乳+0.9%氯化钠注射液;氟比洛芬酯(F)组:氟比洛芬酯+0.9%氯化钠注射液;罗哌卡因(R)组:罗哌卡因+脂肪乳;联合应用(C)组:氟比洛芬酯+罗哌卡因。比较4组术中和术后1、2、4、8、12、24h的疼痛视觉模拟评分(Visual Analog Scale,VAS)、不良反应发生率、补充性曲马多用量及时间、患者满意度以评价各组的临床效果。结果术后2、4h静息和运动时罗哌卡因、氟比洛芬酯均有效且两种药物具有协同作用,术后8h静息和运动时只有氟比洛芬酯有效。术后1、12、24h时各组VAS评分无统计学差异。F组与P组行射频消融术时VAS评分差异有统计学意义(P=0.015)。结论氟比洛芬酯超前镇痛在局麻膝关节镜围手术期具有良好的镇痛效果,联合应用罗哌卡因在术后早期具有协同作用。展开更多
文摘Following an uneventful delivery under epidural analgesia, a 17 year old female patient was referred to the Pain Clinic because of numbness and pain of the left big toe for 2 and a half Months. An Orthopedic consultation had ruled out foot injury and concluded that the pain was radicular and secondary to nerve damage from the epidural analgesia. A Pain Clinic evaluation made the diagnosis of myofascial pain which was successfully treated with trigger pint block using normal saline.
文摘目的研究罗哌卡因与氟比洛芬酯两种药物在局麻膝关节镜围手术期的镇痛效果。方法将72例膝关节镜局麻手术患者随机分为安慰剂(P)组:脂肪乳+0.9%氯化钠注射液;氟比洛芬酯(F)组:氟比洛芬酯+0.9%氯化钠注射液;罗哌卡因(R)组:罗哌卡因+脂肪乳;联合应用(C)组:氟比洛芬酯+罗哌卡因。比较4组术中和术后1、2、4、8、12、24h的疼痛视觉模拟评分(Visual Analog Scale,VAS)、不良反应发生率、补充性曲马多用量及时间、患者满意度以评价各组的临床效果。结果术后2、4h静息和运动时罗哌卡因、氟比洛芬酯均有效且两种药物具有协同作用,术后8h静息和运动时只有氟比洛芬酯有效。术后1、12、24h时各组VAS评分无统计学差异。F组与P组行射频消融术时VAS评分差异有统计学意义(P=0.015)。结论氟比洛芬酯超前镇痛在局麻膝关节镜围手术期具有良好的镇痛效果,联合应用罗哌卡因在术后早期具有协同作用。
