疼痛干预在指屈肌腱显微修复术后的应用价值

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Abstract Objective To investigate the application value of pain intervention in flexor digitorum tendon microrepair.Methods A total of 114 patients with digital flexor tendon injury admitted to the Seventh Affiliated Hospital, Southern Medical University from May 2017 to July 2019 were selected as the research subjects, and they were divided into study group (57 cases) and control group (57 cases) according to random number table method.Both groups of patients were treated with microsurgery, the control group was given conventional intravenous anesthesia, and the study group received intermuscular brachial plexus block after operation on the basis of the control group.The pain visual analog scale (VAS) scores, rehabilitation effect, interleukin-6 (IL-6), tumor necrosis factor-α (TNF-α) and complications of the two groups were compared.Results The VAS scores of the study group at 1, 2, and 4 weeks after operation were lower than those of the control group, and the differences were statistically significant (P＜0.05).After treatment, the levels of IL-6 and TNF-α in the two groups were lower than those before treatment, and the study group was lower than that in the control group, the differences were statistically significant (P＜0.05).The good prognosis rate of the study group was 98.2%, which was higher than 87.7% of the control group, and the difference was statistically significant (P＜0.05).The total incidence of complications in the study group was 3.5%, which was lower than 17.5% in the control group, and the difference was statistically significant (P＜0.05).Conclusion The application of pain intervention after micro-repair of finger flexor tendon can promote pain relief, reduce the occurrence of complications, and improve the excellent and good rate of patients' total active mobility.

Key words： Pain intervention Finger flexor tendon Microsurgery Complications Total active range of motion

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	Articles by authors
	LI Guan-jun
	WU Mei-yi
	QIU Hui
	YANG Di
	LIU Yong-ming

Cite this article:

LI Guan-jun,WU Mei-yi,QIU Hui, et al. Application value of pain intervention in digital flexor tendon microrepair[J]. 中国当代医药, 2021, 28(29): 88-90.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2021/V28/I29/88

[1]	郜永斌，熊革，戴鲁飞，等.拇指掌指关节绞锁18 例临床分析及发病机制的探讨[J].中华解剖与临床杂志，2020，25（3）：292-296.
[2]	Kennedy CD，Lauder AS，Pribaz JR，et al.Differentiation Between Pyogenic Flexor Tenosynovitis and Other Finger Infections[J].Hand （N Y），2017，12（6）：585-590.
[3]	Lunsford D，Valdes K，Hengy S，et al.Conservative management of trigger finger：A systematic review[J].J Hand Ther，2019，32（2）：212-221.
[4]	袁安娜，方海燕，容蓉，等.手部结核性屈肌腱鞘炎超声表现1 例[J].临床超声医学杂志，2020，22（3）：164.
[5]	李斌，谢飞，邹晓防，等.手指损伤中改良指根腱鞘内单点进针麻醉与传统指根麻醉效果分析[J].中华损伤与修复杂志（电子版），2020，15（1）：64-66.
[6]	秦霞.手指屈肌腱断裂吻合术后早期主动功能锻炼预防肌腱粘连的护理要点[J].实用临床护理学电子杂志，2020，5（47）：119，126.
[7]	杨永圣，张梦，姚爱明，等.创伤疼痛对伤后早期创伤后应激障碍发病的影响[J].中华急诊医学杂志，202，29（5）：665-669.
[8]	柏刁，张燕.肌骨超声引导下小针刀治疗屈指肌腱狭窄性腱鞘炎的有效性及对患者预后的影响[J].系统医学，2020，5（6）：81-83，86.
[9]	辛佳映，李成文，宋成伟，等.超声引导下颈5 与颈6 神经根阻滞联合颈浅丛阻滞在锁骨骨折手术中的应用效果[J].临床麻醉学杂志，2020，36（5）：429-432.
[10]	李新建，陈南君，杨建宇，等.激痛点缺血性压迫治疗颈肩肌筋膜疼痛综合征疗效观察[J].康复学报，2020，30（2）：140-144.
[11]	徐聪，王忠伟，张斌，等.超声引导针刀治疗成人屈指肌腱狭窄性腱鞘炎的效果研究[J].河北医药，2020，42（19）：2927-2930.
[13]	刘力畅，宋会平，毕成，等.Ⅳ型指深屈肌腱撕脱性损伤1 例报道并术式讨论[J].实用手外科杂志，2020，34（1）：118-119.
[15]	张航，曾福俊，刁杰，等.局麻清醒技术在手指Ⅱ区陈旧性屈肌腱断裂修复中的应用[J].实用手外科杂志，2020，34（2）：142-144.
[17]	徐杨博，魏代清，邓勇，等.长屈肌腱转位治疗陈旧性跟腱断裂[J].中华创伤骨科杂志，2019，21（4）：284-289.
[12]	Deren ME，Mitchell CH，Weiss AC，et al.Flexor Tendon Ruptures After Distal Scaphoid Excision for Scaphotrapeziotrapezoid Osteoarthritis[J].Hand （N Y），2017，12（5）：152-156.
[14]	Azizian M，Bagheri H，Olyaei G，et al.Effects of dry needling on tendon-pulley architecture，pain and hand function in patients with trigger finger：a randomized controlled trial study[J].J Phys Ther Sci，2019，31（4）：295-298.
[16]	Lever CJ，Bosman HA，Robinson AHN，et al.The functional and dynamometer-tested results of transtendinous flexor hallucis longus transfer for neglected ruptures of the Achilles tendon at six years′ follow-up[J].Bone Joint J，2018，100-B（5）：584-589.
[18]	李绪武，谢鸣.（拇）长屈肌腱转位治疗陈旧性跟腱断裂24 例[J].中国中医骨伤科杂志，2020，28（5）：73-75
[19]	Bullock MJ，DeCarbo WT，Hofbauer MH，et al.Repair of Chronic Achilles Ruptures Has a High Incidence of Venous Thromboembolism[J].Foot Ankle Spec，2017，10（5）：415-420.