Multimodal analgesia for intractable lower limb ischemic pain
10.3969/j.issn.1005-1678.2017.05.133
- VernacularTitle:顽固性下肢缺血性疼痛的多模式镇痛治疗
- Author:
Huabo LIU
;
Zhong ZHANG
;
Caihong ZHAO
;
Zhongyue WANG
;
Gaojian TAO
- Keywords:
ischemic pain;
multimodal analgesia;
lumbar sympathetic nerve lesion;
topical medication;
nsaids;
opioids
- From:
Chinese Journal of Biochemical Pharmaceutics
2017;37(5):394-396
- CountryChina
- Language:Chinese
-
Abstract:
Objective To observe the curative effect of lumbar sympathetic nerve injury combined with systemic and local medication in intractable lower limb ischemic pain.Methods21 patients with intractable lower limb ischemic pain accepted lumbar sympathectomy,at the same time foot topical Votalinemulgel used and Combined with anticonvulsants and opioids according to circumstances,the visual analogue scale of resting pain(visual analogue scale,VAS),the Local skin temperaturebefore and after treatment were observed and evaluated.ResultsAfter Lumbar sympathetic nerve block and topical Votalinemulgel,21 patients had pain relief.After treatment, 2 patients had poor effect,the remaining 19 patients had pain relief to VAS<3, 4 patients did not need systemic analgesic drugs,the rest of the patients need systemic analgesic drugs.ConclusionIt is necessary to adopt multimodal comprehensive treatment for intractable lower limb ischemic pain.