超声波引导的勃起器脊柱平面阻塞在急诊室:一种治疗不可拉伸的坐骨髓炎的治疗方法
Carlos A Gonzalez-Cobos1,2, Miguel J Rosa Carrasquillo2, Miguel F Agrait Gonzalez1
1Emergency Medicine, Hospital Episcopal San Lucas, Ponce, PRI.
Cureus
|January 20, 2025
概括
勃起器脊柱平面块为口服药物无反应的坐骨炎提供了显著的疼痛缓解. 这种干预方法显示出在紧急情况下管理具有挑战性的腰部疼痛与根基病变的承诺.
科学领域:
- 疼痛医学 医学 疼痛医学
- 干预性疼痛管理 干预性疼痛管理
- 区域麻醉地区麻醉
背景情况:
- 脊椎下部疼痛 (LBP) 的常见原因是腿部辐射,这给管理带来了挑战,特别是当标准治疗失败时.
- 持续的LBP和根性症状可以显著损害患者的生活质量和功能能力.
研究的目的:
- 为了评估超声导向勃起器脊柱平面阻塞 (ESPB) 在耐火性坐骨炎患者的疗效.
- 探索ESPB作为急性或慢性LBP的潜在干预治疗方法,在急诊部 (ED) 进行基核病变.
主要方法:
- 一个27岁的男性患者的病例报告,患有持续的LBP和左侧根性病变.
- 在ED中使用超声导向勃起器脊柱平面块 (ESPB) 进行疼痛管理.
- 评估患者报告的术后疼痛缓解和功能改善.
主要成果:
- 患者在ESPB后经历了显著的疼痛减轻和功能改善.
- 超声波引导的ESPB在紧急情况下成功执行.
- 传统的口服药物 (乙氨基,NSAIDs, gabapentinoids,肌肉松剂) 以前未能缓解症状.
结论:
- 超声波引导的ESPB可以成为一种安全有效的干预选择,用于管理对传统疗法的不反应性 sciatica.
- ESPB在急性或慢性腰部疼痛急性或慢性腰部疼痛急性治疗中显示出潜在的实用性.
- 这一案例凸显了ESPB作为一种可行的替代方案,用于在其他治疗方法无效时寻求疼痛缓解的患者.
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