神经前驱疗法治疗术后持续性疼痛1例报告

Abdul Muttalib, Nur Surya Wirawan
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摘要

术后持续性疼痛是指术后持续2个月以上的临床不适(疼痛)状态,无其他原因,如慢性感染或术前发生的慢性疾病引起的疼痛。本研究旨在描述PPSP管理及其结果。病例介绍:一名妇女,54岁,家庭主妇,因腹部手术疤痕持续疼痛来到医院。在过去的三个月里,疼痛变得更严重了,有时感觉疼痛已经扩散到手术伤口周围。疼痛感尖锐而热,扩散到周围区域,休息时感到疼痛,5个月前子宫切除手术后经历的活动加重了疼痛。患者被诊断为术后持续疼痛。神经前驱治疗适用于有PPSP指征的患者。所用药物为5%葡萄糖溶液和2%利多卡因。沿手术瘢痕及周围注射0.5-1 ml葡萄糖。注射后,患者感觉疼痛减轻(数值评分1/10)。结论:神经前驱疗法可用于治疗PPSP患者的主诉。神经前驱治疗注射使用D5%溶液和利多卡因的混合物治疗,预后良好,症状改善,并发症相对较少。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Neural Prolotherapy in Persistent Post-Surgery Pain: A Case Report
Introduction: Persistent postoperative pain is a clinical condition of discomfort (pain) and lasts more than 2 months after surgery without other causes, such as chronic infection or pain due to chronic conditions that occurred before surgery. This study aims to describe PPSP management and its outcomes. Case presentation: A woman, 54 years old, a housewife, came to the hospital with complaints of persistent pain from a surgical scar in the abdominal area. The pain has gotten worse in the last 3 months and sometimes feels like it's spreading to the area around the surgical wound. The pain is felt sharp and hot, spreads to the area around it, and is felt when resting, aggravated by activity experienced 5 months ago since the operation to remove the uterus. The patient was diagnosed with persistent post-surgical pain. Neural prolotherapy is performed on patients with PPSP indications. The drugs used are 5% dextrose solution and 2% lidocaine. Injection of 0.5-1 ml of dextrose was carried out in the area along the surgical scar and its surroundings. After the injection, the patient felt that the pain was reduced (numeric rating scale 1/10). Conclusion: Neural prolotherapy can be used in the management of patients with PPSP complaints. Treatment with neural prolotherapy injection using a mixture of D5% solution and lidocaine has a good prognosis for symptom improvement and relatively minimal complications.
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