热凝与无水乙醇注射治疗三叉神经痛的效果比较  

Comparison of thermal coagulation and anhydrous alcohol for treating trigeminal pain

作　　者：郑恒兴[1] 熊利泽[1] 施宇翔[1] 熊东方[1] 陈绍洋[1] 

机构地区：[1]解放军第四军医大学西京医院麻醉科,陕西省西安市710033

出　　处：《中国临床康复》2004年第23期4682-4683,共2页Chinese Journal of Clinical Rehabilitation

摘　　要：目的观察热凝治疗三叉神经痛的疗效及副作用,并与无水乙醇治疗的效果相比较。方法选择30例三叉神经痛患者,经药物控制无效者。分为两组,每组15例。A组,在三叉神经的神经干走行处注射无水乙醇0.3mL。B组,在三叉神经的神经干走行处用RCG-3F(美国产)进行射频热凝治疗70,75,80,85℃各1次,90s/次。术后1周观察患者疼痛缓解程度(VAS法),随访其疼痛缓解时间、面部麻木感恢复时间。结果术后1周B组患者疼痛缓解程度(0.2±0.1)分,A组(1.5±0.6)分,与A组比差异有非常显著性意义(t=7.056,P<0.01),B组患者疼痛缓解时间(7.8±0.5)个月,A组(5.3±0.8)个月,与A组比差异有显著性意义(t=2.328,P<0.05),B组患者面部麻木感恢复时间(2.5±0.3)个月,明显快于A组(5.8±0.9)个月,与A组比差异有非常显著性意义(t=3.782,P<0.01)。结论热凝治疗三叉神经痛明显优于无水乙醇注射法。AIM:To observe the effect and side effect of thermal coagulation therapy compared with anlydrous alcohol for treating trigeminal pain.METHODS:Thirty patients with trigeminal pain which could not be controlled by drugs were randomly divided into two groups, and each group had fifteen patients. In group A, 0.3 mL absolute alcohol was injected into the near of the nerve which the trigeminal pain come from. In group B,the patients underwent thermal coagulation therapy at the same point with RCG 3F(made in America) at 70,75,80,85 ℃, and each time for 90 s.Visual analogue scale (VAS) at one week, pain relief time and facial numb recovery time were recorded after the operation.RESULTS: VAS scores in group B(0.2±0.1)was significantly better than that in group A(1.5±0.6)(P< 0.01, t=7.056) . Pain relief time in group B[(7.8±0.5) months] was significantly longer than that in group A[(5.3±0.8) months](P< 0.05, t=2.328). Recovery time of facial numb in group B[(2.5±0.3)months] was significantly shorter than that in group A [(5.8±0.9)months](P< 0.01, t=3.782). CONCLUSION: Thermal coagulation therapy is more effective in the trigeminal pain than absolute alcohol injection.

关 键 词：疼痛 三叉神经 电凝法 

分 类 号：R441.1[医药卫生—诊断学]