Grouille D, Sardin B, Terrier G
Service d'accompagnement et de soins palliatifs, pôle clinique médicale, CHU Dupuytren, 2, avenue Martin-Luther-King, 87042 Limoges cedex, France.
Ann Fr Anesth Reanim. 2012 Jun;31(6):560-3. doi: 10.1016/j.annfar.2012.04.001. Epub 2012 Jun 6.
It could append that patient pain relief in palliative care is not achieved despite the use of opioids and the multimodal approach. Therefore, regional techniques are used in the palliative care unit of the Limoges University Hospital since four years.
From October 2006 to September 2010, every patient under regional technique was followed with a specific form. The items collected were demographic characteristics, underlying disease, and associated treatments. The efficacy of regional techniques on pain was scored.
Sixty-three patients, 39 males and 24 females, mean age 59 years, were treated by 104 regional procedures. There were 49 neuroaxial analgesia (40 spinal and nine epidural), 39 peripheral nerve blocks including 25 iliofascial blocks and 16 blocks for nerves of the scalp, face and neck. In 67.5% of the cases, the regional techniques provided adequate pain relief. For 24% of the cases, the results were uncompleted. Regional techniques were unsuccessful in 8.5%.
Despite this underperformance in terms of pain control, a multicenter study is ongoing to evaluate the improvement of quality of life induced by the regional techniques.
尽管使用了阿片类药物和多模式方法，但在姑息治疗中仍无法实现患者的疼痛缓解。因此，四年来，利摩日大学医院的姑息治疗科一直在使用区域技术。
从2006年10月到2010年9月，对每一位接受区域技术治疗的患者采用特定表格进行随访。收集的项目包括人口统计学特征、基础疾病和相关治疗。对区域技术对疼痛的疗效进行评分。
63例患者，男性39例，女性24例，平均年龄59岁，接受了104次区域手术。其中49例为神经轴索镇痛（40例脊髓镇痛和9例硬膜外镇痛），39例为周围神经阻滞，包括25例髂筋膜阻滞和16例头皮、面部和颈部神经阻滞。在67.5%的病例中，区域技术提供了充分的疼痛缓解。24%的病例结果未完成。区域技术在8.5%的病例中未成功。
尽管在疼痛控制方面表现不佳，但一项多中心研究正在进行，以评估区域技术对生活质量的改善情况。
