静脉胺输液用于经过内带流后治疗慢性术后疼痛:一个病例报告
André Luis Vieira Drumond1, Lucas Nunes Bandeira de Melo1, Marina Ayres Delgado1
1Division of Anesthesiology, Department of Surgery, Hospital das clínicas de Belo Horizonte, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil.
静脉注射胺输液有效地管理了对其他治疗不耐药的患者的慢性术后疼痛 (CPSP). 这种方法改善了疼痛,移动性和功能,支持胺.
科学领域:
- 疼痛医学 医学 疼痛医学
- 麻醉学 麻醉学
- 药理学 药理学是指药理学的学科.
背景情况:
- 慢性术后疼痛 (CPSP) 在手术后影响高达50%的患者,显著影响生活质量.
- 耐火性CPSP是一个挑战,通常由传统的药理和非药理疗法管理得不够好.
研究的目的:
- 报告一个成功管理 inguinal hernia修复后耐火性慢性术后疼痛的病例.
- 评估定期静脉注射胺输液在患有衰弱性CPSP的患者中的疗效.
主要方法:
- 一名63岁的男性有5年的耐火性CPSP后内瘤病史被治疗.
- 治疗包括定期静脉注射胺注射 (30 mg每30天).
- 以前的治疗方法包括阿米丁, gabapentin,编解素,神经阻塞和针.
主要成果:
- 静脉注射胺导致了相当大的疼痛缓解.
- 患者经历了改善的移动性和增强的功能.
- 在低剂量时,胺被耐受性良好,副作用最小.
结论:
- 定期低剂量静脉注射胺注射对治疗耐火性慢性术后疼痛有前途.
- 这个案例支持当前关于在慢性疼痛管理中使用胺的指导方针.
- 需要进行进一步的研究,以确定CPSP的最佳胺蛋白协议.
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