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多模式镇痛治疗1例儿童原发性红斑性肢痛症伴感染并药学监护

李梦秋 左蕾 冉鑫 李青 李欣宇 罗宁

中国药房2024,Vol.35Issue(13):1658-1662,5.
中国药房2024,Vol.35Issue(13):1658-1662,5.DOI:10.6039/j.issn.1001-0408.2024.13.19

多模式镇痛治疗1例儿童原发性红斑性肢痛症伴感染并药学监护

Multimodal analgesia in the treatment of a case of pediatric primary erythromelalgia with infection and pharmaceutical care

李梦秋 1左蕾 2冉鑫 1李青 1李欣宇 1罗宁3

作者信息

  • 1. 重庆医科大学附属第一医院药学部,重庆 400016
  • 2. 重庆医科大学附属第一医院疼痛科,重庆 400016
  • 3. 重庆医科大学附属第一医院药学部,重庆 400016||江津区中心医院药学部,重庆 402260
  • 折叠

摘要

Abstract

OBJECTIVE To explore a multimodal analgesia regimen based on spinal cord electrical stimulation for children with primary erythromelalgia and the key points of pharmaceutical care.METHODS Clinical pharmacists participated in the treatment of a child with primary erythromelalgia complicated with skin infection.After reviewing domestic and foreign literature,multimodal analgesia was formulated and pharmaceutical care was carried out to address the difficulties in treating the patient's illness.RESULTS The treatment team applied multimodal analgesia based on spinal cord electrical stimulation for the child,including a multi-drug combination involving different analgesic pharmacological targets,multiple administration routes(oral,intravenous,epidural,percutaneous),multiple technologies(spinal cord electrical stimulation,local nerve block,patient-controlled analgesia),individualized schemes of adjuvant therapy,and the child was monitored for the safety of drug use.The pain was controlled during the treatment and follow-up period,the wound was healed,and no serious adverse drug reactions occurred.CONCLUSIONS Multimodal analgesia based on spinal cord electrical stimulation is a safe and effective treatment for children with primary erythromelalgia.

关键词

红斑性肢痛症/脊髓电刺激/多模式镇痛/临床药师/药学监护

Key words

erythromelalgia/spinal cord electrical stimulation/multimodal analgesia/clinical pharmacist/pharmaceutical care

分类

医药卫生

引用本文复制引用

李梦秋,左蕾,冉鑫,李青,李欣宇,罗宁..多模式镇痛治疗1例儿童原发性红斑性肢痛症伴感染并药学监护[J].中国药房,2024,35(13):1658-1662,5.

基金项目

重庆市科卫联合医学科研面上项目(No.2024MSXM042) (No.2024MSXM042)

中国药房

OA北大核心CSTPCD

1001-0408

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