首页> 美国卫生研究院文献>Annals of the Rheumatic Diseases >Modified suprascapular nerve block with bupivacaine alone effectively controls chronic shoulder pain in patients with rheumatoid arthritis.
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Modified suprascapular nerve block with bupivacaine alone effectively controls chronic shoulder pain in patients with rheumatoid arthritis.

机译:仅使用布比卡因改良的肩cap上神经阻滞可有效控制类风湿关节炎患者的慢性肩痛。

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摘要

Chronic shoulder pain is a common and disabling symptom in patients with rheumatoid arthritis (RA). It has been previously shown that a suprascapular nerve block (SSNB) using the standard mixture of bupivacaine and adrenaline (Ba) plus methylprednisolone (P), which is routinely used in pain clinics, results in a considerable improvement in pain relief and range of movement compared with conventional intra-articular steroid injections in such patients. A double blind study was carried out in 29 patients (58 shoulders) with RA to compare SSNB induced with Ba alone with that induced using the conventional mixture of Ba plus P. Highly significant improvements were noted in measures of pain, stiffness, and range of most movements for both treatments (up to three months) compared with baseline. Results favoured Ba alone; the differences between the two treatments reached statistical significance for stiffness (at 12 weeks) and active abduction (at one week). It is concluded that the addition of P to the SSNB mixture confers no benefit in these patients.
机译:慢性肩痛是类风湿关节炎(RA)患者的常见和致残症状。以前的研究表明,使用布比卡因和肾上腺素的标准混合物(Ba)加上甲基泼尼松龙(P)的肩cap上神经阻滞(SSNB)可在缓解疼痛和活动范围方面取得显着改善与常规关节内类固醇注射相比。对29位RA患者(58肩)进行了双盲研究,比较了单独使用Ba诱导的SSNB与使用传统的Ba加P混合物诱导的SSNB。在疼痛,僵硬和疼痛程度的测量上有显着改善与基线相比,两种治疗的动作最多(三个月以内)。结果偏爱Ba。两种治疗方法之间的差异在僵硬(12周)和主动外展(1周)时达到统计学显着性。结论是,在SSNB混合物中添加P对这些患者没有益处。

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