一名60岁女性通过竖脊肌神经阻滞实现带状疱疹后神经痛的即刻和持续缓解。
Immediate and sustained relief of postherpetic neuralgia with erector spinae nerve block in a 60-year-old woman.
作者信息
Roces Matthew A, James Taylor, Shibata Jacqueline
机构信息
University of California, Los Angeles - Department of Emergency Medicine, United States of America.
University of California, Los Angeles - Department of Emergency Medicine, United States of America.
出版信息
Am J Emerg Med. 2025 Mar;89:310.e5-310.e7. doi: 10.1016/j.ajem.2024.12.080. Epub 2024 Dec 31.
INTRODUCTION
The erector spinae plane block (ESPB) is a relatively new regional anesthetic procedure that provides analgesia below the erector spinae muscles in an interfascial plane. The indications for its use continue to expand as we learn more about this block.
CASE
We report a case of a 60 year old woman presenting to the emergency department (ED) with severe intractable pain after recent onset of herpes zoster infection. Pain was not controlled after nine prior visits, which included prescriptions of antiviral therapy and multiple classes of oral and topical medications. After one session using an erector spinae plane block, the patient had nearly complete resolution of pain both immediately and subsequently for nearly 9 months.
CONCLUSIONS
The erector spinae block is a safe and cost-effective intervention in refractory postherpetic neuralgia.
引言
竖脊肌平面阻滞（ESPB）是一种相对较新的区域麻醉方法，可在筋膜间平面为竖脊肌下方提供镇痛。随着我们对该阻滞了解的不断深入，其使用指征也在不断扩大。
病例
我们报告一例60岁女性患者，近期患带状疱疹感染后出现严重顽固性疼痛，前往急诊科就诊。此前就诊9次，疼痛均未得到控制，包括使用抗病毒治疗以及多种口服和外用药物。在进行一次竖脊肌平面阻滞后，患者即刻及随后近9个月疼痛几乎完全缓解。
结论
竖脊肌阻滞是治疗难治性带状疱疹后神经痛的一种安全且经济有效的干预措施。
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