{"id":4738,"date":"2022-05-02T10:45:11","date_gmt":"2022-05-02T02:45:11","guid":{"rendered":"http:\/\/web.csh.org.tw\/web\/cshmagazine\/?p=4738"},"modified":"2022-05-02T10:45:12","modified_gmt":"2022-05-02T02:45:12","slug":"%e8%85%b0%e8%82%8c%e7%ad%8b%e8%86%9c%e7%a5%9e%e7%b6%93%e7%97%9b%e8%a7%a3%e5%a5%97%e8%a1%93%ef%bc%9a%e4%b8%80%e7%a8%ae%e8%85%b0%e9%83%a8%e7%a5%9e%e7%b6%93%e6%a0%b9%e6%80%a7%e7%96%bc%e7%97%9b%e6%b2%bb","status":"publish","type":"post","link":"https:\/\/web.csh.org.tw\/web\/cshmagazine\/?p=4738","title":{"rendered":"\u8170\u808c\u7b4b\u819c\u795e\u7d93\u75db\u89e3\u5957\u8853\uff1a\u4e00\u7a2e\u8170\u90e8\u795e\u7d93\u6839\u6027\u75bc\u75db\u6cbb\u7642\u7684\u6709\u6548\u65b9\u5f0f\uff01"},"content":{"rendered":"\n<p style=\"text-align:right\">\u6587\/\u5fa9\u5065\u91ab\u5b78\u90e8 \u4f55\u555f\u4e2d \u91ab\u5e2b<\/p>\n\n\n\n<p>\u3000\u3000\u8170\u90e8\u810a\u9ad3\u795e\u7d93\u6839\u767c\u708e\u53ca\u6cbe\u9ecf\u5c0e\u81f4\u7684\u4e0b\u80cc\u75db\u7d93\u5e38\u662f\u75c7\u72c0\u6bd4\u8f03\u5287\u70c8\u4e26\u4e14\u81ea\u884c\u7de9\u89e3\u8005\u8f03\u5c11\uff0c\u81f4\u75c5\u539f\u56e0\u53ef\u4ee5\u662f\u8170\u90e8\u690e\u9593\u76e4\u7a81\u51fa\u5f62\u6210\u7684\u6a5f\u68b0\u6027\u58d3\u8feb\uff0c\u4ee5\u53ca\u8170\u90e8\u810a\u690e\u624b\u8853\u5f8c\u5f62\u6210\u76f8\u95dc\u7684\u795e\u7d93\u6839\u6cbe\u9ecf\u7b49\u3002\u9019\u985e\u7684\u60a3\u8005\u7fa4\uff0c\u5176\u4e2d\u90e8\u5206\u7684\u4eba\u6703\u5448\u73fe 1. \u7d93\u670d\u85e5\u53ca\u8170\u90e8\u727d\u5f15\u70ba\u671f\u6578\u500b\u6708\u4ecd\u7136\u6cbb\u7642\u4e0d\u898b\u6210\u6548\u8005\uff1b2. \u591a\u6b21\u8170\u90e8\u810a\u690e\u624b\u8853\u5f8c\u4e0b\u80cc\u5287\u75db\u4f9d\u820a\u6301\u7e8c\u56f0\u64fe\u7684\u60a3\u8005\uff0c\u9019\u5169\u985e\u60a3\u8005\u7684\u75bc\u75db\u8655\u7406\uff0c\u4e00\u76f4\u662f\u5fa9\u5065\u9580\u8a3a\u4e2d\u7d93\u5e38\u51fa\u73fe\u7684\u68d8\u624b\u96e3\u984c\u3002<\/p>\n\n\n\n<div class=\"wp-block-image\"><figure class=\"alignright is-resized\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/web.csh.org.tw\/web\/cshmagazine\/wp-content\/uploads\/2022\/05\/05-9.jpg\" alt=\"\" class=\"wp-image-4729\" width=\"269\" height=\"233\"\/><figcaption>\u57161\u3001\u5229\u7528\u8d85\u97f3\u6ce2\u5c0e\u5f15\u6ce8\u5c04\u8461\u8404\u7cd6\u6eb6\u6db2<\/figcaption><\/figure><\/div>\n\n\n\n<p>\u3000\u3000\u8fd1\u5e74\u4f86\u795e\u7d93\u75bc\u75db\u4f7f\u7528\u7cd6\u6c34\u89e3\u5957(Hydrorelease)\u7684\u6280\u8853\u6642\u6709\u767c\u8868\uff0c\u8af8\u591a\u76ae\u795e\u7d93\u53ca\u5468\u908a\u795e\u7d93\u75bc\u75db\u7684\u6cbb\u7642\u6709\u4e86\u660e\u986f\u7684\u9032\u5c55\uff0c\u300c\u8170\u808c\u7b4b\u819c\u795e\u7d93\u75db\u89e3\u5957\u8853\u300d\u9019\u500b\u89e3\u5957\u6280\u8853\u662f\u6cbf\u7528\u540c\u6a23\u7cd6\u6c34\u89e3\u5957\u7684\u6982\u5ff5\uff0c\u5229\u7528\u73fe\u6210\u7684\u8170\u808c\u7b4b\u819c\u9ebb\u9189(Psoas block)\u6280\u8853\uff0c\u5c07\u4f4e\u6fc3\u5ea6\u7684\u8461\u8404\u7cd6\u6eb6\u6db2\u5229\u7528\u8d85\u97f3\u6ce2\u5c0e\u5f15\u6ce8\u5c04\u9032\u5165\u8170\u65b9\u808c(Qudratus Lumbarum muscle)\u8207\u8170\u808c(Psoas muscle) \u4e4b\u9593\u7684\u808c\u7b4b\u819c\u5167\u4e26\u5ef6\u4f38\u9032\u5165\u8170\u690e\u795e\u7d93\u5b54\u65c1\u7a7a\u9593(paravertebral space, PVS)\uff0c\u4ee5\u6b64\u4f86\u6d78\u6f64\u6b63\u5728\u53d7\u50b7\u767c\u708e\u53ca\u5df2\u7d93\u6cbe\u9ecf\u7684\u795e\u7d93\u6839(\u57161\u53ca\u57162)\uff0c\u4e26\u4e14\u5728\u6ce8\u5c04\u7d50\u675f\u7684\u7576\u4e0b\uff0c\u914d\u5408\u795e\u7d93\u727d\u52d5(nerve\nmobilization) \u7684\u6280\u8853\u4f86\u505a\u66f4\u9032\u4e00\u6b65\u7684\u53bb\u6cbe\u9ecf\u6cbb\u7642\uff0c\u6b64\u5169\u6b65\u9a5f\u5408\u7a31\u300c\u8d85\u97f3\u6ce2\u5c0e\u5f15\u8170\u808c\u7b4b\u819c\u7cd6\u6c34\u795e\u7d93\u75db\u89e3\u5957\u8853\u300d(Echoguided\nPsoas Fascia Hydrorelease) \u7c21\u7a31\uff1a\u300c\u8170\u808c\u7b4b\u819c\u795e\u7d93\u89e3\u5957\u8853\u300d(PFHR)\u3002<\/p>\n\n\n\n<p>\u3000\u3000\u757620cc\u7684\u4f4e\u6fc3\u5ea6\u7cd6\u6c34\u6ce8\u5165\u5230\u8170\u690e\u795e\u7d93\u5b54\u65c1\u7a7a\u9593\u6642\uff0c\u6703\u6cbf\u8457\u6b64\u7a7a\u9593\u505a\u9996\u5c3e\u5411\u4e0a\u4e0b\u7ac4\u6d41\uff0c\u5411\u4e0b\u53ef\u9054\u540c\u4e00\u5074L4\u795e\u7d93\u6839\u7684\u90e8\u4f4d\uff0c\u5411\u4e0a\u53ef\u9054\u540c\u4e00\u5074T10\u795e\u7d93\u6839\u90e8\u4f4d(\u6709\u6642\u6700\u9ad8\u53ef\u53caT4\u90e8\u4f4d)\uff0c\u6b64\u6cd5\u6d78\u6f64\u7bc4\u570d\u5f88\u5ee3\u6cdb\uff0c\u56e0\u6b64\u53ef\u6cbb\u7642\u7684\u9069\u61c9\u75c7\u7684\u9805\u76ee\u4e5f\u591a\uff0c\u5927\u51e1\u4f4e\u80f8\u690e\u5230\u6574\u500b\u8170\u690e\u7684\u795e\u7d93\u6839\u76f8\u95dc\u75c5\u8b8a\u90fd\u53ef\u505a\u6cbb\u7642\u7684\u5617\u8a66\u3002\u56e0\u70ba\u9019\u7a2e\u6ce8\u5c04\u65b9\u5f0f\u4f7f\u7528\u7684\u53ea\u662f\u8461\u8404\u7cd6\u6db2\uff0c\u4e0d\u542b\u985e\u56fa\u9187\uff0c\u4e26\u4f7f\u7528\u9ad8\u983b\u8d85\u97f3\u6ce2\u5f71\u50cf\u4f5c\u5b9a\u4f4d\uff0c\u5b89\u5168\u6027\u6975\u9ad8\uff0c\u4e26\u4e14\u6c92\u6709\u85e5\u7269\u7684\u526f\u4f5c\u7528\u3002<\/p>\n\n\n\n<p>\u3000\u3000\u4ee5\u4e0b3\u500b\u6848\u4f8b\u4f5c\u300c\u8170\u808c\u7b4b\u819c\u795e\u7d93\u89e3\u5957\u8853\u300d\u7684\u6cbb\u7642\u6548\u679c\uff0c\u7565\u8ff0\u5982\u4e0b\uff1a<\/p>\n\n\n\n<p><strong>\u6848\u4f8b\u4e00<\/strong><\/p>\n\n\n\n<p>\u3000\u300019\u6b72\u7684\u7537\u6027\u5b78\u751f\uff0c\u5728\u53cd\u8986\u91cd\u91cf\u8a13\u7df4\u5f8c\uff0c\u51fa\u73fe\u4e86\u4e0b\u80cc\u75db\u7684\u60c5\u6cc1\uff0c\u4f75\u767c\u6025\u6027\u5750\u9aa8\u795e\u7d93\u75db\u7684\u75c7\u72c0\uff0c\u6838\u78c1\u5171\u632f\u986f\u70baL45\u7684\u690e\u9593\u677f\u7a81\u51fa\uff0c\u58d3\u8feb\u53f3\u5074\u795e\u7d93\u6839\uff0c\u7d93\u6708\u9918\u591a\u6b21\u8170\u90e8\u727d\u5f15\u7121\u6548\uff0c\u5287\u75db\u5f71\u97ff\u751f\u6d3b\u3002<\/p>\n\n\n\n<p><strong>\u6848\u4f8b\u4e8c<\/strong><\/p>\n\n\n\n<p>\u3000\u300062\u6b72\u7537\u6027\uff0c\u591a\u5e74\u7684\u6162\u6027\u4e0b\u80cc\u75db\u4f86\u5c31\u8a3a\uff0c\u6838\u78c1\u5171\u632f\u986f\u70baL34\u7684\u690e\u9593\u677f\u7565\u70ba\u7a81\u51fa\u4f75\u767c\u5927\u817f\u5927\u817f\u5916\u5074\u9ebb\u75db\u7b49\u75c7\u72c0\uff0c\u96d6\u7d93\u53cd\u8986\u5fa9\u5065\uff0c\u8170\u75db\u53ca\u5927\u817f\u9ebb\u75db\u4f9d\u820a\u56f0\u64fe\u65e5\u5e38\u751f\u6d3b\u3002<\/p>\n\n\n\n<p><strong>\u6848\u4f8b\u4e09<\/strong><\/p>\n\n\n\n<p>\u3000\u300077\u6b72\u5973\u6027\uff0c\u56e0\u70ba\u4e0b\u80cc\u75db\uff0c\u5df2\u7d93\u52d5\u904e3\u6b21\u76f8\u95dc\u810a\u690e\u624b\u8853\uff0c\u4f46\u6210\u6548\u4e0d\u597d\uff0c\u4e0b\u80cc\u75db\u6bcf\u6cc1\u6108\u4e0b(failback sydrome)\uff0c\u5373\u4f7f\u4f7f\u7528Pregabalin(Lyrica)\u795e\u7d93\u75db\u6291\u5236\u85e5\u7269\uff0c\u6bcf\u5929\u7684\u4e0b\u80a2\u795e\u7d93\u904e\u654f\u75db(paresthesia)\u4f9d\u820a\u4e0d\u65b7\u7684\u5e72\u64fe\u5979\u7684\u751f\u6d3b\u8207\u7761\u7720\u3002<\/p>\n\n\n\n<p>\u3000\u3000\u6b64\u4e09\u4f8b\uff0c\u56e0\u7269\u7406\u6cbb\u7642\u6210\u6548\u4e0d\u5920\u7406\u60f3\uff0c\u5747\u5b89\u6392\u9032\u884c\u4e86\u300c\u8170\u808c\u7b4b\u819c\u795e\u7d93\u89e3\u5957\u8853\u300d\u7684\u6cbb\u7642\uff0c\u7d93\u7b2c\u4e00\u6b21\u7684\u6ce8\u5c04\u5f8c\uff0c\u4e00\u9031\u5167\u8ffd\u8e64\uff0c\u4e09\u4f8b\u7684\u75bc\u75db\u90fd\u6709\u4e86\u6232\u5287\u6027\u7684\u6539\u5584\u3002\u75bc\u75db\u6307\u6578\u753110\u5206\u4e0b\u964d\u70ba2\u52304\u5206(\u964d\u4f4e\u4e866-8\u7d1a\u5206)\u4e0d\u7b49\uff0c\u56e0\u6b64\u4e09\u4f8b\u7684\u751f\u6d3b\u54c1\u8cea\u90fd\u5f97\u5230\u986f\u8457\u6539\u5584\uff0c\u4e26\u4e14\u5728\u7b2c\u4e00\u500b\u6708\u7684\u5f8c\u7e7c\u8ffd\u8e64\uff0c\u6ce8\u5c04\u7642\u6548\u4ecd\u7136\u7e7c\u7e8c\u4fdd\u6301\u3002\u4e00\u822c\u4f86\u8aaa\uff0c\u300c\u8170\u808c\u7b4b\u819c\u795e\u7d93\u89e3\u5957\u8853\u300d\u7684\u6cbb\u7642\uff0c\u6703\u9032\u884c\u5171\u5169\u6b21\uff0c\u5176\u4e2d\u9593\u9694\u4e00\u500b\u6708\u3002<\/p>\n\n\n\n<figure class=\"wp-block-image\"><img loading=\"lazy\" decoding=\"async\" width=\"791\" height=\"499\" src=\"https:\/\/web.csh.org.tw\/web\/cshmagazine\/wp-content\/uploads\/2022\/05\/05-10.jpg\" alt=\"\" class=\"wp-image-4739\"\/><figcaption><br>\u57162\u3001\u5229\u7528\u8d85\u97f3\u6ce2\u5c0e\u5f15\u6ce8\u5c04\u8461\u8404\u7cd6\u6eb6\u6db2<\/figcaption><\/figure>\n","protected":false},"excerpt":{"rendered":"<p>\u6587\/\u5fa9\u5065\u91ab\u5b78\u90e8 \u4f55\u555f\u4e2d \u91ab\u5e2b \u3000\u3000\u8170\u90e8\u810a\u9ad3\u795e\u7d93\u6839\u767c\u708e\u53ca\u6cbe\u9ecf\u5c0e\u81f4\u7684\u4e0b\u80cc\u75db\u7d93\u5e38\u662f\u75c7\u72c0\u6bd4\u8f03\u5287\u70c8\u4e26\u4e14\u81ea\u884c\u7de9\u89e3\u8005\u8f03\u5c11\uff0c\u81f4 [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[19],"tags":[205,201,206],"class_list":["post-4738","post","type-post","status-publish","format-standard","hentry","category-19","tag-205","tag-201","tag-206"],"_links":{"self":[{"href":"https:\/\/web.csh.org.tw\/web\/cshmagazine\/index.php?rest_route=\/wp\/v2\/posts\/4738"}],"collection":[{"href":"https:\/\/web.csh.org.tw\/web\/cshmagazine\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/web.csh.org.tw\/web\/cshmagazine\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/web.csh.org.tw\/web\/cshmagazine\/index.php?rest_route=\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/web.csh.org.tw\/web\/cshmagazine\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=4738"}],"version-history":[{"count":1,"href":"https:\/\/web.csh.org.tw\/web\/cshmagazine\/index.php?rest_route=\/wp\/v2\/posts\/4738\/revisions"}],"predecessor-version":[{"id":4740,"href":"https:\/\/web.csh.org.tw\/web\/cshmagazine\/index.php?rest_route=\/wp\/v2\/posts\/4738\/revisions\/4740"}],"wp:attachment":[{"href":"https:\/\/web.csh.org.tw\/web\/cshmagazine\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=4738"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/web.csh.org.tw\/web\/cshmagazine\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=4738"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/web.csh.org.tw\/web\/cshmagazine\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=4738"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}