脉冲射频用于三叉神经疱疹后神经痛治疗的对比观察  

CLINICAL EFFECT OF PULSED RADIO-FREQUENCE ON TRIGEMINAL POST-HERPETIC NEURALGIA

作　　者：魏星[1] 王家双[1] 包佳巾[1] 

机构地区：[1]广州市红十字会医院疼痛科,广州510220

出　　处：《中国疼痛医学杂志》2011年第4期205-207,共3页Chinese Journal of Pain Medicine

摘　　要：目的:三叉神经带状疱疹后神经痛是头面部疼痛疾病中最有代表性的疾病之一,本文报道脉冲射频为主治疗三叉神经区疱疹后遗神经痛的效果。方法:本组共计疼痛科住院的三叉神经带状疱疹后神经痛患者30例,门诊患者30例,观察药物及脉冲射频治疗前、后疼痛程度和性质、患区遗留症状和睡眠质量。结果:患者主诉头面部自发性闪电样疼痛、刀割样疼痛、烧灼样疼痛为主。激惹型42例,麻痹型18例,平均VAS评分为8.2分。药物组患者治疗后平均VAS评分为5.4分。经过加用2次脉冲射频治疗(2Hz4,0℃1,20s)平均VAS评分为3.3分。经过14～18个月的随访,脉冲射频组疗效稳定。结论:本组三叉神经疱疹后神经痛患者结果表明:加用脉冲射频治疗后大部分患者疼痛缓解明显,效果比较稳定,患者的生活质量明显改善。Objective： Trigeminal post-herpetic neuralgia is one of typical painful diseases of human head or face.This paper report clinical effect of pulsed radio-frequence（PRF） on trigeminal pos-therpetic neuralgia.Methods： There are 60 cases,30 is in-patient or out-patient,of trigeminal post-herpetic neuralgia are investigated and index of pain types,sleeping condition and remain symptoms in zoster area are used.Results： lightning pain,lancinating pain,burning pain are main complaint in clinical and average VAS score is 8.2.There are two sub-clinical types,irritable nociceptor group（42）,deafferentation group（18）,respectively.After PRF（2Hz,40℃,120s）,VAS score is 3.3,the control group is 5.4.The effect is stable after 14～18 months follow up in PRF group.Conclusion： After treatment by PRF,the quality of life of patient markedly improve,the effect is better than the control group and stable during 14～18 months follow up.

关 键 词：三叉神经区疱疹后神经痛 脉冲射频 

分 类 号：R752.12[医药卫生—皮肤病学与性病学]