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竖脊肌平面阻滞(ESPB)用于慢性胸痛的治疗。3例患者疼痛/镇痛区域的相关性及治疗的长期效果。

The erector spinae plane block (ESPB) in the management of chronic thoracic pain. Correlation of pain/analgesia areas and long term effect of the treatment in three cases.

作者信息

Kot Baixauli P, Rodriguez Gimillo P, Baldo Gosalvez J, De Andrés Ibáñez J

机构信息

Servicio de Anestesia, Reanimación y Tratamiento del Dolor, Consorcio Hospital General Universitario de Valencia. Avenida Tres Cruces, 2, 46014 Valencia, España.

Servicio de Anestesia, Reanimación y Tratamiento del Dolor, Consorcio Hospital General Universitario de Valencia. Avenida Tres Cruces, 2, 46014 Valencia, España.

出版信息

Rev Esp Anestesiol Reanim (Engl Ed). 2019 Oct;66(8):443-446. doi: 10.1016/j.redar.2019.02.010. Epub 2019 Aug 5.

DOI:10.1016/j.redar.2019.02.010
PMID:31395404
Abstract

The erector spinae plane block (ESPB) is a technique that is used both as perioperative analgesia and in the management of chronic pain. This has been described recently and is being a resource increasingly used for its easy implementation and low rate of complications. However, the correlation between pain and analgesia, as well as its long-term effect on chronic pain, should be studied. We present a series of 3 cases in which the effectiveness of the ESPB in patients with chronic chest pain was evaluated. The block was performed in all cases by depositing 20ml of 0.2% Ropivacaine in the fascial plane of the erector spinae muscle. The pain was measured using a numerical scale prior to the block, at 30minutes and a month. The areas were marked on the skin with different colours for comparison.

摘要

竖脊肌平面阻滞(ESPB)是一种既用于围手术期镇痛又用于慢性疼痛管理的技术。该技术最近已有描述,因其易于实施且并发症发生率低而越来越成为一种常用方法。然而,疼痛与镇痛之间的相关性及其对慢性疼痛的长期影响仍有待研究。我们报告了3例评估ESPB对慢性胸痛患者有效性的病例。所有病例均通过在竖脊肌筋膜平面注入20ml 0.2%罗哌卡因来实施阻滞。在阻滞前、30分钟和1个月时使用数字评分法测量疼痛程度。在皮肤上用不同颜色标记出相关区域以便比较。

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引用本文的文献

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Quadrant and Dermatomal Analysis of Sensorial Block in Ultrasound- Guided Erector Spinae Plane Block.超声引导竖脊肌平面阻滞感觉阻滞的象限与皮节分析
Eurasian J Med. 2022 Jun;54(2):121-126. doi: 10.5152/eurasianjmed.2022.21151.
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The effect of ultrasound-guided erector spinae plane block on postsurgical pain: a meta-analysis of randomized controlled trials.
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