Mak P H, Tsui S L, Ip W Y, Irwin M G
Department of Anesthesiology, The University of Hong Kong, Queen Mary Hospital, Pokfulam.
Can J Anaesth. 2000 Sep;47(9):903-6. doi: 10.1007/BF03019673.
To report the use of continuous brachial plexus analgesia to facilitate physiotherapy
A 34-yr-old man had contractures of the fingers of his dominant hand following a crush injury in 1996. After several operations, he continued to experience severe pain and disability. In order to facilitate painfree active and passive physiotherapy, we performed an axillary brachial plexus block. After insertion of a brachial plexus catheter via the axilla, analgesia was continued for a period of one week using a 3 mlxhr(-1) background infusion of ropivacaine 0.2% with the facility for additional patient-controlled 1 ml boluses. Both active and passive physiotherapy was carried out daily for the entire week.
This technique was successful with no major complications and resulted in a marked reduction in pain, with improved range of finger movement and general upper limb function.
报告连续臂丛神经镇痛在促进物理治疗中的应用
一名34岁男性在1996年手部挤压伤后，优势手手指出现挛缩。经过多次手术后，他仍持续遭受剧痛和功能障碍。为了便于进行无痛的主动和被动物理治疗，我们实施了腋路臂丛神经阻滞。经腋路插入臂丛神经导管后，使用0.2%罗哌卡因以3 ml/hr的背景输注持续镇痛一周，患者还可额外自控推注1 ml。在这一整周内，每天都进行主动和被动物理治疗。
该技术成功实施，无重大并发症，疼痛显著减轻，手指活动范围及上肢整体功能均得到改善。
