CONTINUOUS EPIDURAL INFUSION OF LOCAL-ANESTHETICS AND SHORTER DURATION OF ACUTE ZOSTER-ASSOCIATED PAIN

被引:30
作者
MANABE, H
DAN, K
HIGA, K
机构
[1] Department of Anesthesiology, School of Medicine, Fukuoka University, Jonan-ku, Fukuoka 814-01, 45-1
关键词
HERPES ZOSTER; ZOSTER-ASSOCIATED PAIN; POSTHERPETIC NEURALGIA; CONTINUOUS EPIDURAL INFUSION; LOCAL ANESTHETICS;
D O I
10.1097/00002508-199509000-00010
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
Objective: The purpose of this study was to investigate the effects of continuous epidural blockade on acute tester-associated paint compared with intermittent epidural blocks. Design: The design was a retrospective, nonrandomized study. Setting: The study was conducted at a university hospital in Japan from 1982 through 1992. Patients: A total of 178 otherwise healthy patients hospitalized with moderate or severe herpes tester lesions. Interventions: Group A (n = 66) had intermittent epidural blocks using 1% mepivacaine, 4-6 ml, three to six times daily; group B (n = 43) were given intermittent epidural blocks and parenteral acyclovir (500 mg/day) or vidarabine (600 mg/day) for 5 days; group C (n = 69) were administered a continuous epidural 0.5% bupivacaine infusion (0.3-1.0 ml/h) for similar to 2 weeks and antiviral agents followed by intermittent blocks. Main Outcome Measures: The number of treatment days was used as the outcome measure. Results: The length of treatment was significantly shorter in group C than in groups A or B. For moderate lesions the means (days) were 36.2 (95% confidence interval (CI), 31.4-41.7), 45.6 (95% CI, 34.0-61.4), and 26.8 (95% CI, 22.3-32.3) for groups A, B, and C, respectively (p < 0.01). For severe lesions they were 73.3 (95% CI, 55.1-97.7), 81.7 (95% CI, 59.1-113.0), and 44.9 (95% CI, 35.2-57.3) for groups A, B, and C, respectively (p < 0.01). Conclusions: Continuous epidural blockade for patients with acute tester can shorten the duration of treatment and may reduce the incidence of postherpetic neuralgia.
引用
收藏
页码:220 / 228
页数:9
相关论文
共 42 条
[1]  
[Anonymous], 1985, CLIN J PAIN
[2]   PHANTOM LIMB PAIN IN AMPUTEES DURING THE 1ST 12 MONTHS FOLLOWING LIMB AMPUTATION, AFTER PREOPERATIVE LUMBAR EPIDURAL BLOCKADE [J].
BACH, S ;
NORENG, MF ;
TJELLDEN, NU .
PAIN, 1988, 33 (03) :297-301
[3]  
BEAN B, 1982, LANCET, V2, P118
[4]   RESPONSE OF CUTANEOUS SENSORY UNITS WITH UNMYELINATED FIBERS TO NOXIOUS STIMULI [J].
BESSOU, P ;
PERL, ER ;
SCHMITTR.LA .
JOURNAL OF NEUROPHYSIOLOGY, 1969, 32 (06) :1025-&
[5]   ANALGESIC RESPONSES TO IV LIGNOCAINE [J].
BOAS, RA ;
COVINO, BG ;
SHAHNARIAN, A .
BRITISH JOURNAL OF ANAESTHESIA, 1982, 54 (05) :501-505
[6]   THE EFFECT OF INTRAVENOUS LIDOCAINE, TOCAINIDE, AND MEXILETINE ON SPONTANEOUSLY ACTIVE FIBERS ORIGINATING IN RAT SCIATIC NEUROMAS [J].
CHABAL, C ;
RUSSELL, LC ;
BURCHIEL, KJ .
PAIN, 1989, 38 (03) :333-338
[7]   EFFECT OF REGIONAL SYMPATHETIC BLOCKS IN TREATMENT OF HERPES ZOSTER - A SURVEY OF 300 CASES [J].
COLDING, A .
ACTA ANAESTHESIOLOGICA SCANDINAVICA, 1969, 13 (03) :133-&
[8]   CLINICAL-PHARMACOLOGY OF LOCAL-ANESTHETICS [J].
COUSINS, MJ ;
MATHER, LE .
ANAESTHESIA AND INTENSIVE CARE, 1980, 8 (03) :257-277
[9]  
COUSINS MJ, 1988, NEURAL BLOCKADE CLIN, P254
[10]  
Covino BG., 1988, NEURAL BLOCKADE CLIN, P111