Hormone topical occlusion therapy

It is a commonly used external treatment method to reduce swelling and relieve pain and restore limb function by locally injecting drugs, inhibiting the exudation of local inflammation, and improving the nutritional status of local neuromuscular muscles. Treating diseases: arthritis Indication Non-infectious orthopedic diseases, anti-inflammatory analgesic, improve local circulation, eliminate the role of metabolic disorders. Contraindications Severe liver disease; advanced severe sepsis and sepsis; late stage inflammation or necrosis of large blood vessels, such as phlebitis in deep limbs, pelvic cavity, mediastinum, etc.; closure may accelerate the loss of necrotic tissue and cause massive hemorrhage; tumor and tuberculosis, banned lesions Partially closed. Preoperative preparation A skin test is required, and the skin test is negative before application. Surgical procedure Closed method (1) Pain point closure: It is the most commonly used sealing method in clinical practice, that is, the most obvious and concentrated part of the local pain point is selected for injection, and often it can receive better analgesic effect. (2) nerve root closure: for the pain and radiation pain caused by the compression of the nerve root, injection at the nerve root site can effectively relieve pain. (3) Hernia sheath closure: used to treat tenosynovitis, ganglion cysts and other diseases, that is, the drug is directly injected into the tendon sheath, which has the functions of reducing inflammation, relieving pain and releasing adhesion. (4) Intraspinal epidural closure: the drug is injected into the spinal canal epidural to reduce the local inflammatory reaction and relieve the signs of low back pain caused by spinal nerve compression. Commonly used drugs (1) acetic acid prednisolone 0.5 ~ 1 ml, plus 0.5% ~ 2% procaine hydrochloride 2 ~ 10 mg, once a week, 3 times for a course of treatment. (2) Hydrogenated cortisone acetate 0.5 ~ 1 ml, plus 0.5% ~ 2% procaine hydrochloride 2 ~ 10 mg, once a week, 3 times for a course of treatment. (3) Compound Danshen injection 2 ~ 6 ml, plus 0.5% ~ 2% procaine hydrochloride 2 ~ 10 mg, once every other day, 10 times for a course of treatment. (4) Compound Angelica injection 2 ~ 6 ml, plus 0.5% ~ 2% procaine hydrochloride 2 ~ 10 mg, once every other day, 10 times for a course of treatment. In addition, safflower injection, Dilong injection, Chuanxiong injection, and Astragalus injection can promote the absorption of hematoma, edema, exudate and acidic metabolites to improve the nutrition and metabolism of cells and improve local tissues. The ability to resist damage and repair can be selected clinically according to the needs of the disease. Instructions First determine the injection site and puncture point, local disinfection with dilute iodine, 75 degrees alcohol, select the corresponding needle and needle, take the liquid as needed, drain the air inside the needle, use procaine should first make skin Try, the needle should be quickly stabbed at the injection, directly to the injection site, and then pump back, confirm that the needle tip is not in the blood vessel, and then slowly inject the drug solution. After the injection, press with a sterile cotton swab and quickly pull out the needle. complication Pain and radioactive pain caused by compression of nerve roots.