Pain physician
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Randomized Controlled Trial Comparative Study
Comparison of the Analgesic Efficacy of Erector Spinae Plane Block, Paravertebral Block and Quadratus Lumborum Block for Pelvi-ureteric Surgeries: A Randomized Double-Blind, Noninferiority Trial.
Effective postoperative analgesia enhances the patient's comfort and facilitates early mobilization and recovery. ⋯ In pelvi-ureteric surgeries, the ESPB, TPVB, and QLB provided comparable intraoperative and postoperative analgesia, patient satisfaction, and postoperative complications, but the ESPB was performed more quickly. Therefore, we recommend the ESPB as a routine regional anesthetic technique.
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Trigeminal neuralgia (TN) is defined as spontaneous pain in the region of the trigeminal nerve that seriously affects a patient's quality of life. Percutaneous balloon compression of the trigeminal ganglion is a simple and reproducible surgical procedure that reduces the incidence of TN, but the postoperative outcome is poor in some patients, with it being ineffective or TN recurring. ⋯ Screening clinical information by machine learning, combined with a clinical imaging histology nomogram, has good potential for predicting the prognosis of a patient's TN treated with percutaneous balloon compression, and is suitable for clinical application in patients with TN after percutaneous balloon compression.
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Observational Study
Relationship Between Preoperative Serum Albumin and Uric Acid and One-year Cure Rate in Patients With Herpes Zoster.
Herpes zoster (HZ) is a common condition that causes severe pain mostly in middle-aged and older adults. It is currently treated with a combination of medication and surgery. However, some patients do not experience complete pain relief even after surgery and often experience a period of mild pain until a complete cure. Some studies suggest that the development of HZ is markedly associated with antioxidant factors; however, the relationship between preoperative antioxidant factors and the prognosis of HZ remains undetermined. ⋯ ALB and UA are independent risk factors and reflect the prognosis of patients with HZ neuralgia. Furthermore, their combined application may improve prediction accuracy.