糖皮质激素在疼痛科的应用.pptVIP

ESI适应症 主要适应症是神经根病变引起的疼痛 适应症 短期效果 长期效果 急性神经根痛 ＋ ＋ 非神经根痛 ＋ - Stephen E, et al. Treatment of Lumbosacral Radiculopathy with Epidural Steroids. Anesthesiology 1999; 91:1937–41. Abram SE: Epidural steroid injections for the treatment of lumbosacral radiculopathy. J Back Musculoskeletal Rehabil 1997; 8:135–49. Rowlingson JC: Epidural steroids. Do they have a place in pain management? Am Pain Soc J 1994; 3:20–7. ESI 的指征 神经根炎引起的根性痛(Radiculopathy) 轴性痛(Axial pain) 腰椎管狭窄(Lumbar stenosis) 脊柱术后…… 神经病理性疼痛 带状疱疹 神经损伤 Severe neuropathic pain associated with cancer ESI制剂的选择 可溶解的皮质类固醇制剂有以下特点 可迅速从椎管清除 在动物鞘内注射时可