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首页> 外文期刊>Journal of orthopaedics and traumatology: official journal of the Italian Society of Orthopaedics and Traumatology >Complex regional pain syndrome type I: efficacy of stellate ganglion blockade.
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Complex regional pain syndrome type I: efficacy of stellate ganglion blockade.

机译：I型复杂性区域疼痛综合征：星状神经节阻滞的疗效。

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摘要

BACKGROUND: This study was performed to evaluate the treatment of complex regional pain syndrome (CRPS) type I with stellate ganglion blockade. MATERIALS AND METHODS: We performed three blockades at weekly intervals in 22 patients with CRPS type I in one hand. The patients were divided into two groups depending on the time between symptom onset and treatment initiation. Group 1and 2 patients had short and long symptom-onset-to-treatment intervals, respectively. Pain intensity, using a visual analog score (VAS), and range of motion (ROM) for the wrist joint were assessed before and 2 weeks after treatment and were compared using nonparametric statistical analysis. RESULTS: Treatment produced a statistically significant difference in wrist ROM for all patients (P < 0.001). VAS values showed an overall decrease from 8 +/- 1 to 1 +/- 1 following treatment, and there was a significant difference in VAS value between groups 1 and 2 (P < 0.05). CONCLUSIONS: We concluded that stellate ganglion blockade successfully decreased VAS and increased ROM of wrist joints in patients with CRPS type I. Further, the duration between symptom onset and therapy initiation was a major factor affecting blockade success.
机译：背景：本研究旨在评估星状神经节阻滞对I型复杂区域疼痛综合征（CRPS）的治疗。材料与方法：我们每周用一只手对22例CRPS I型患者进行3次封锁。根据症状发作和治疗开始之间的时间，将患者分为两组。第1组和第2组患者的症状发作至治疗间隔分别较短和较长。在治疗前和治疗后2周使用视觉模拟评分（VAS）评估疼痛强度，并评估腕关节的运动范围（ROM），并使用非参数统计分析进行比较。结果：治疗对所有患者的腕部ROM产生了统计学上的显着差异（P <0.001）。治疗后，VAS值总体上从8 +/- 1下降到1 +/- 1，第1组和第2组之间的VAS值存在显着差异（P <0.05）。结论：我们得出结论，星状神经节阻滞成功地降低了I型CRPS患者的VAS并增加了腕关节的ROM。此外，症状发作和治疗开始之间的持续时间是影响阻滞成功的主要因素。

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