高胸部勃起器脊柱平面阻塞用于椎根性疼痛:补充类固醇是否可以改善结果? :一个回顾性比较研究
Tuba Tanyel-Saraçoğlu1, Duygu Karali-Bingül1, Burak Erken2
1Pain Medicine Clinic, Başakşehir Çam and Sakura City Hospital, Istanbul, Turkey.
Medicine
|September 24, 2025
概括
高胸部勃起器脊柱平面块 (ESPB) 有效地治疗椎间盘的椎根痛. 在本研究中,与单独使用ESPB相比,将ESPB与类固醇结合并没有显示出优异的结果.
科学领域:
- 疼痛医学 医学 疼痛医学
- 麻醉学 麻醉学
- 神经外科 神经外科
背景情况:
- 由于椎间盘而导致的宫根部疼痛显著影响患者的生活质量.
- 对于这种情况,有效的管理策略至关重要.
研究的目的:
- 为了比较高胸部勃起器脊柱平面块 (ESPB) 单独与ESPB结合类固醇治疗单侧椎根性疼痛的疗效.
- 评估宫椎间盘的患者的疼痛强度和功能改善.
主要方法:
- 追溯分析89名患有单边部根部疼痛 (C5,C6或C7神经根) 的患者.
- 患者在T1级接受了局部麻醉 (L组,n=42) 或局部麻醉和类固醇 (S组,n=47) 的ESPB.
- 疼痛和功能障碍在基线,4周和手术后12周使用数值评分表和部残疾指数进行评估.
主要成果:
- 与基线相比,两组都显示疼痛强度和功能障碍得分显著降低 (P < .001).
- 在4周和12周的局部麻醉组和类固醇组合组之间没有观察到统计学上显著的结果差异 (P > .05).
结论:
- 高胸部ESPB是一种有效的治疗椎根性疼痛,提供疼痛缓解和功能改善.
- 虽然这项研究没有发现使用类固醇的优异结果,但ESPB仍然是一个安全的替代方案,特别是在与类固醇结合时.
- 建议进行进一步的前性随机研究来验证这些发现.
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