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《China Journal of Modern Medicine》 2008-07
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Capsaicin injection for prevention of lumbago after epidural anaesthesia

DENG Hai-feng1, DONG Ying-wei2, SHI Li-hong3, XIOU Xiao-guang1 (1.Department of Anesthesiology, the 5th Affiliated Hospital of Harbin Medical University, Daqing, Heilongjiang 163316, P.R.China 2.Department of Anesthesiology, the First Affiliated Hospital of Harbin Medical University, Harbin, Heilongjiang, 150001, P.R.China 3.Department of Rehabilitation, the 5th Affiliated Hospital of Harbin Medical University, Daqing, Heilongjiang 163316, P.R.China)  
[Objective] To observe the effect of Capsaicin injection for prevention of lumbago after epidural anesthesia. [Methods] Ninety patients had undergone lower abdomen or lower limb operations in epidural anesthesia were randomly divided into three groups, 30 cases for each group. In group Ⅰthe bevel of the needle was inserted vertically along the spinal axis (vertical insertion method), while in groupⅡthe bevel of the needle was inserted horizontally along the spinal axis and rotated to the demanded direction later (horizontal insertion method), group Ⅲ was also given vertical insertion method, and injected 3~5 ml Capsaicin (0.1%) around puncture position after epidural anesthesia. Then all patients were given Lidocaine (0.66%) and Naropin (0.66%) epidurally. Lumbago severity and incidence were examined in respectively seven days after operation. [Results] The incidence of lumbago in three groups were 46.7%, 20% and 16.7% respectively. The severity and incidence of lumbago of group Ⅱ were significantly lower than that of group Ⅰ(P 0.05). The severity and incidence of lumbago of group Ⅲ were significantly lower than that of groupⅠ(P 0.05). [Conclusion] Injected Capsaicin (0.1%) around puncture position after epidural anesthesia can reduce the severity and incidence of lumbago.
【CateGory Index】: R614
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【Citations】
Chinese Journal Full-text Database 2 Hits
1 DU Shao-fen, LI Yi-xian, LI Xi-rong, et al.Department of Anesthesia, Affiliated Tumor Hospital, Shantou University Medical College, Guangdong Shantou 515031, China.;The clinical observation of prevention of postpunctural lumbago after epidural anesthesia[J];Journal of Modern Oncology;2004-06
2 DONG Ying-wei , WANG Yi-wei, CHU Wei-liang, et al. Department of Anesthesiology, First Hospital, Harbin Medical University, Harbin 150001, China;Effects of epidural capsaicin with different contrention on pain threshold and nerve tissue structure in rats[J];Chinese Journal of Anesthesiology;2005-06
【Co-citations】
Chinese Journal Full-text Database 3 Hits
1 MIAO Shao-hua,ZOU Zhao-hui,DAI Yan-xue(Heze Municipal Hospital,Heze,Shandong 274031,China);Feasibility of combined spinal-epidural anesthesia with 20 G thin needle puncture and putting tube by wire guide for reducing postpunctural lumbago[J];Journal of Practical Medical Techniques;2008-24
2 ZHANG Fan , DONG Ying-wei, LIU Li, et al.Department of Anesthesiology, First Hospital, Harbin Medical University, Harbin 150001, China;Effects of epidural capsaicin on pain threshold, neurological function and spinal neurons in rabbits[J];Chinese Journal of Anesthesiology;2006-04
3 CHEN Shu-qiang,XU You-jia,YU Chen,et al.Department of Orthopedics,Second Affiliated Hospital of Soochow University,Suzhou 215004,China;Protective effects of erythropoietin by epidural injection on neurocyte apoptosis and relative proteins after spinal cord injury in rats[J];Orthopedic Journal of China;2008-18
【Secondary Citations】
Chinese Journal Full-text Database 1 Hits
1 Qu Chengyie, Yu Ming, Li Ping, et al The 234th Hospital of PLA,Chaoyang, Liaoning 122000;Tissue Trauma and Clinical Lumbago Caused by Bevel Directions of Tuohy Needle in Epidural Puncture[J];THE JOURNAL OF CLINICAL ANESTHESILOLGY;1997-01
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