肌间沟臂丛神经阻滞镁剂用于治疗肩部疼痛性疾病
Magnesium interscalene nerve block for the management of painful shoulder disorders.
作者信息
Bamgbade Olumuyiwa A
机构信息
Department of Anaesthesia, University of British Columbia, Vancouver, Canada.
出版信息
Saudi J Anaesth. 2018 Apr-Jun;12(2):343-345. doi: 10.4103/sja.SJA_650_17.
Abstract
Shoulder pain is a common and distressing disorder. Systemic multimodal analgesia may be ineffective, but interscalene nerve block provides effective therapy. Magnesium may increase the efficacy and duration of systemic or regional analgesia. This case series examines the utility of magnesium interscalene nerve block for the management of painful shoulder disorders. Six elderly patients with shoulder pain and dysfunction received interscalene nerve block with injection of bupivacaine and magnesium. The patients subsequently reported significant improvement in sleep, shoulder pain, and physical function for 16 weeks. This report highlights that magnesium interscalene nerve block provides safe, effective, and prolonged shoulder analgesia.
摘要
肩部疼痛是一种常见且令人痛苦的病症。全身性多模式镇痛可能无效，但肌间沟神经阻滞可提供有效的治疗。镁可能会增加全身性或局部镇痛的效果和持续时间。本病例系列研究了镁肌间沟神经阻滞在治疗肩部疼痛性疾病中的效用。六名患有肩部疼痛和功能障碍的老年患者接受了布比卡因和镁注射的肌间沟神经阻滞。这些患者随后报告称，在16周内睡眠、肩部疼痛和身体功能有了显著改善。本报告强调，镁肌间沟神经阻滞可提供安全、有效且持久的肩部镇痛。
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