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硬膜外类固醇治疗慢性背根神经痛

Management of chronic dorsal root pain with epidural steroid.

作者信息

Forrest J B

出版信息

Can Anaesth Soc J. 1978 May;25(3):218-25. doi: 10.1007/BF03004883.

DOI:10.1007/BF03004883
PMID:656995
Abstract

Twenty-eight patients presenting with typical dorsal root pain of more than six months' duration were given a series of three epidural injections of methylprednisolone acetate. The patients were grouped according to known aetiologic factors. Improvement in symptoms was most marked in the post-herpetic group where 86% were free of pain after six months. In the post-trauma/surgical group, 50% of patients were free of pain after six months, while in the idiopathic group only minimal improvement occurred. The side-effects of steroid administration into the epidural space were in all cases minor.

摘要

28例表现为典型的持续时间超过6个月的背根性疼痛的患者接受了一系列3次醋酸甲基泼尼松龙硬膜外注射。患者根据已知病因因素分组。症状改善在疱疹后组最为明显,6个月后86%的患者疼痛消失。在创伤/手术后组,50%的患者6个月后疼痛消失,而特发性组仅出现轻微改善。硬膜外注射类固醇的副作用在所有病例中均较小。

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[Pain therapy in herpes zoster and post-zoster neuralgia.].

本文引用的文献

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The application of nerve block in diagnosis and therapy.神经阻滞在诊断和治疗中的应用。
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The response to epidural steroid injections in chronic dorsal root pain.慢性背根神经痛对硬膜外类固醇注射的反应。
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Solu-Medrol for back pain.用于治疗背痛的甲泼尼龙琥珀酸钠
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[Long-term experiences with local administration of Depo-Medrol (methylprednisolone acetate) in the treatment of various rheumatic diseases].[醋酸甲泼尼龙(得宝松)局部给药治疗各种风湿性疾病的长期经验]
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8
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Acta Orthop Scand. 1976 Aug;47(4):388-90. doi: 10.3109/17453677608988706.
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Methodological problems in the measurement of pain: a comparison between the verbal rating scale and the visual analogue scale.疼痛测量中的方法学问题:语言评定量表与视觉模拟量表的比较
Pain. 1975 Dec;1(4):379-384. doi: 10.1016/0304-3959(75)90075-5.
10
Electrical stimulation in the nervous system: the current status of electrical stimulation of the nervous system for relief of pain.神经系统中的电刺激:用于缓解疼痛的神经系统电刺激的现状
Pain. 1975 Jun;1(2):109-123. doi: 10.1016/0304-3959(75)90096-2.