Morimoto M, Morimoto E, Okabayashi K, Morimoto M, Hyodo M
Department of Anesthesiology, Osaka Medical College.
Masui. 1994 Sep;43(9):1336-40.
We analyzed 130 patients with intractable pain who were treated with continuous epidural block therapy using a disposable microinjector to evaluate its efficacy and utility. The mean treatment period was 4.3 +/- 0.4 weeks. After the treatment, the mean visual analog scale (VAS) improved to 3.3 +/- 0.2, from the pretreatment value of 6.5 +/- 0.1. Among the intractable pain conditions, postherpetic neuralgia (PHN) and pain in the neck, shoulder and upper limbs were relieved markedly, while cancer pain was difficult to reduce. These data show that continuous epidural block therapy using the disposable microinjector is particularly useful in PHN, in which sympathetic nerve block is the essential treatment. The pain in the neck, shoulder and upper limbs was relieved with continuous somatic nerve block.
我们分析了130例顽固性疼痛患者，这些患者采用一次性微注射器进行连续硬膜外阻滞治疗，以评估其疗效和实用性。平均治疗周期为4.3±0.4周。治疗后，平均视觉模拟评分（VAS）从治疗前的6.5±0.1改善至3.3±0.2。在顽固性疼痛病症中，带状疱疹后神经痛（PHN）以及颈部、肩部和上肢疼痛得到明显缓解，而癌痛难以减轻。这些数据表明，使用一次性微注射器进行连续硬膜外阻滞治疗在PHN中特别有用，其中交感神经阻滞是关键治疗方法。颈部、肩部和上肢疼痛通过连续躯体神经阻滞得到缓解。
