胸部交感节块:在207名慢性疼痛患者中的现实结果
Jeongsoo Kim1, Minsu Yun1, Andrew Hogyu Han2
1Department of Anesthesiology and Pain Medicine, Seoul National University Hospital, Seoul, Korea (the Republic of).
Regional anesthesia and pain medicine
|September 19, 2023
概括
胸部交感节块 (TSGB) 没有显示技术成功与疼痛缓解之间的直接联系. 然而,糖尿病和辅助剂摄入等因素对上肢疼痛管理的结果产生了积极的影响.
科学领域:
- 疼痛医学 医学 疼痛医学
- 神经学 神经学
- 干预性疼痛管理 干预性疼痛管理
背景情况:
- 胸部交感性质块 (TSGB) 用于同情地维持上肢疼痛.
- 关于TSGB在疼痛医学中的临床有效性的研究有限.
- 这项研究旨在评估TSGB的技术成功,疼痛减轻相关性和结果预测因素.
研究的目的:
- 研究TSGB的技术成功与慢性上肢疼痛的疼痛减轻之间的关系.
- 确定与积极的TSGB结果相关的临床因素.
主要方法:
- 对232名接受TSGB治疗的患者 (2004-2020年) 的回顾性审查.
- 技术成功被定义为≥1.5°C的温度升高;积极的结果是2周后NRS上≥2点的疼痛减轻.
- 进行了相关性和多变量回归分析.
主要成果:
- 115/207名患者 (55.5%) 的TSGB结果为阳性;139/207人 (67.1%) 取得了技术上的成功.
- 温度升高和疼痛减轻之间没有显著的相关性 (R=0.013,p=0.855).
- 糖尿病 (OR 4.200) 和辅助剂摄入 (OR 3.451) 与结果正相关;精神病并发症 (OR 0.327) 和疼痛持续时间 (OR 0.973) 与结果负相关.
结论:
- 在TSGB后的温度升高和疼痛减轻之间没有发现显著的关联.
- 需要进一步的研究来确定TSGB在复杂的区域性疼痛综合征和神经病痛中成功的关键因素.
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