用光学指导的肩上和肩下关节神经阻塞治疗慢性肩部疼痛:一项为期12周的观察性研究
Anuj Jain1, K J Jithin1, Harish Kumar1
1Department of Anesthesiology, All India Institute of Medical Science, Saket Nagar, Bhopal, Madhya Pradesh, 462020, India.
Interventional pain medicine
|April 23, 2025
概括
光学引导的上 (SSN) 和下 (SCN) 神经阻塞显著降低了慢性肩部疼痛,并在78%的患者中改善了功能. 这种微创手术为管理持续的肩部不适提供了一个有希望的替代方案.
科学领域:
- 肌肉骨医学 肌肉骨医学
- 疼痛管理 疼痛管理
- 干预性放射学 干预性放射学
背景情况:
- 慢性肩部疼痛是一种普遍的肌肉骨疾病,影响生活质量.
- 目前的管理策略可能包括保守的治疗,关节内注射或手术.
- 对于持续的肩部疼痛,需要有效的,最少的侵入性干预措施.
研究的目的:
- 为了评估光学指导的上 (SSN) 和下 (SCN) 关节分支块在慢性肩部疼痛的疗效.
- 通过数字评分表 (NRS) 评估疼痛减轻,通过肩部疼痛和残疾指数 (SPADI) 评估功能改善.
主要方法:
- 一项前性,单臂观察性研究包括70名患有慢性肩部疼痛的成年人.
- 患者接受了光学指导的SSN和SCN关节分支阻塞与布皮瓦卡因和氨.
- 在基线和每两周一次在12周内记录NRS和SPADI得分,以及运动范围 (ROM) 和夜间疼痛评估.
主要成果:
- 在12周,78%的患者经历了≥50%的疼痛减轻.
- 平均NRS得分显著下降 (p < 0.001),SPADI疼痛和残疾得分提高了57%以上 (p < 0.001).
- 观察到ROM的显著改善 (平均29°绑架,p < 0.001) 和夜间疼痛的解决.
结论:
- 光学引导的SSN和SCN关节分支块在治疗慢性肩部疼痛方面是有效的.
- 这些阻塞提供了显著的疼痛缓解和功能增强.
- 这种技术为部分患者提供了手术或关节内注射的可行替代方案.
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