在宫外围注射类固醇注射中对比分布的比较分析,采用修改的参数介质介质方法,使用不同的针尖位置:一个随机对照试验
Seung Hee Yoo1, Min Jin Lee1, Mi Jin Jue1
1Department of Anesthesiology and Pain Medicine, College of Medicine, Ewha Womans University, Ewha Womans University Mokdong Hospital, Seoul, Republic of Korea.
概括
在用于宫外围注射类固醇注射的修改参数介质介质 (mPIL) 方法中,针头的位置会影响对比度的扩散. 中部和侧部针位置都改善了疼痛和功能,表明了技术的适应性.
科学领域:
- 疼痛管理 疼痛管理
- 干预性疼痛程序 干预性疼痛程序
- 脊椎解剖学 脊椎解剖学
背景情况:
- 修改的参数介质内膜内膜 (mPIL) 方法是最近在宫内膜内膜外膜内膜类固醇注射方面取得的进展.
- 了解对比传播模式对于优化这种技术至关重要.
研究的目的:
- 用mPIL方法分析宫外周腔空间的对比分布.
- 研究不同针尖位置对对比度分布的影响.
主要方法:
- 48名患者被随机分配到中间或侧侧针尖位置组.
- 在光镜下可视化对比流动;针尖位置和临床结果被评估.
- 术后测量了疼痛强度和功能障碍.
主要成果:
- 腹腔对比分布在中间和侧面组之间有显著差异.
- 侧向组的针头尖端位于更腹部的位置.
- 两组在4周后都显示出明显的疼痛和功能改善,没有跨组差异.
结论:
- 在mPIL方法中,针尖位置会影响腹部对比分散.
- 在mPIL技术证明有效性,不管针尖位置的微小变化.
相关概念视频
Local Anesthetics: Clinical Application as Epidural Anesthesia
427
Epidural anesthetics are administered in the fat-filled epidural space, the outermost part of the spinal canal. This technique is commonly employed for pain management and anesthesia during lower abdomen and pelvis surgeries or labor and delivery.
Since epidural anesthetics can be infused through an epidural catheter, all types of drugs, including short-acting ones, can be administered. Chloroprocaine and lidocaine are examples of short and long-duration anesthetics, respectively. Bupivacaine...
Since epidural anesthetics can be infused through an epidural catheter, all types of drugs, including short-acting ones, can be administered. Chloroprocaine and lidocaine are examples of short and long-duration anesthetics, respectively. Bupivacaine...
427
Local Anesthetics: Clinical Application as Spinal Anesthesia
605
Spinal anesthetics are given during lower abdomen and limb surgeries to block sensory and motor neurons. They are administered in the mid to low lumbar regions, primarily acting on the cauda equina's nerve roots. The blockade level depends on the local anesthetic (LA) concentration. Usually, low LA concentrations are sufficient to block sensory fibers, while only high LA concentrations block motor fibers. Other factors like injection volume and speed, the patient's posture, and the drug...
605
Local Anesthetics: Differential Sensitivity of Nerve Fibers
801
Local anesthetics (LAs) block the sodium channels of nerve trunks, sensory nerve endings, and neuromuscular junctions. Although LAs can block all kinds of nerves, the sensitivity of nerve fibers differs according to nerve types and structures. LAs are known to block myelinated fibers faster than unmyelinated ones. Also, they block pain or sensory neurons at low concentrations without affecting the motor neurons involved in muscle contractions. This helps relieve labor pain without affecting the...
801
Local Anesthetics: Clinical Application as Intravenous Regional Anesthesia
384
Intravenous regional anesthesia or the Bier block technique is used to anesthetize a specific limb or extremity. It uses exsanguinated or blood-drained vessels to transport local anesthetics or LAs to the peripheral nerve trunks. Lidocaine without vasoconstrictors like epinephrine is most commonly used for this technique. Other drugs used are prilocaine, ropivacaine, and chloroprocaine. Bupivacaine is not recommended for this technique due to its high cardiac toxicity.
One of the advantages of...
One of the advantages of...
384


