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目的观察硬膜外持续PCA泵止痛和间断注药治疗带状疱疹疼痛的疗效。方法 37例中重度疱疹疼痛患者予硬膜外腔置管,接PCA止痛泵持续泵注吗啡,根据疼痛情况调整至止痛剂量,并间断硬膜外腔注入消炎镇痛药,观察疼痛缓解程度、生活质量改善情况及并发症。结果有1例患者因不良反应出组,其余患者经治疗后均在1周左右控制疼痛,总有效率97.3%,未发现其他并发症。结论硬膜外持续PCA泵吗啡止痛和间断注药治疗带状疱疹疼痛有效,迅速止痛,改善生活质量,治疗安全,无成瘾、呼吸抑制等并发症。
Objective To observe the curative effect of epidural continuous PCA pump analgesia and intermittent injection on the treatment of herpes zoster pain. Methods 37 cases of severe herpes pain patients were given epidural catheter, followed by PCA analgesic pump continuous injection of morphine, according to the pain adjusted to analgesic dose, and intermittent epidural injection of anti-inflammatory analgesics to observe the degree of pain relief, Quality of life improvement and complications. Results One patient was excluded due to adverse reactions. The remaining patients were controlled for about one week after treatment. The total effective rate was 97.3%. No other complications were found. Conclusions Continuous epidural continuous PCA pump morphine analgesia and intermittent injection of drugs in the treatment of herpes zoster pain, rapid pain relief, improve quality of life, treatment safety, no addiction, respiratory depression and other complications.