直线偏振光照射与注射法治疗原发性枕大神经痛的疗效比较  

Comparising the efficacy of super lizer irradiation with injection therapy for the treatment of primary greater occipital neuralgia

作　　者：蔡明珍[1] 徐华琴[1] 朱新杰[1] 王建光[1] 徐振兴[1] 翁浩[1] 何亮亮[1] 

机构地区：[1]上海交通大学附属第六人民医院奉贤分院麻醉科,201400

出　　处：《实用疼痛学杂志》2012年第6期418-420,共3页Pain Clinic Journal

摘　　要：目的比较直线偏振光照射与注射法治疗原发性枕大神经痛的临床疗效。方法原发性枕大神经痛患者40例，随机分为两组，直线偏振光照射治疗组（L组）与注射治疗组（B组），每组20例。记录治疗前和治疗后即刻、3d、1周时的VAS评分，治疗后1周、1个月时行疗效评定，并记录补救治疗例数和不良反应。结果治疗后即刻，L组VAS〈4的例数明显少于B组（P〈0．05）；与治疗前相比，两组患者治疗后VAS〈4的例数明显增多（P〈0．05）。两组疗效、补救治疗例数和不良反应差异无统计学意义（P〉0．05）。结论直线偏振光照射治疗与注射法治疗效果相似，可有效治疗原发性枕大神经痛。Objective To compare the efficacy of super lizer irradiation with injection therapy for the treatment of primary greater occipital neuralgia. Methods Forty patients with primary grea- ter occipital neuralgia were randomly divided into two groups, super lizer irradiation group （group L） and injection therapy group（group B）, 20 cases in each group. VAS was recorded before the treat- ment and at the end of operation, third day and 1 week after the treatment. Efficacy evaluation were recorded at 1 week and 1 month after the treatment. The cases number of remedial measures and adverse reactions were also recorded. Results Compared with group B, the case number of VAS〈4 was obviously fewer at the end of treatment in group L（P〈0.05）. The case number of VAS〈4 was significantly more at the end of treatment and at 3th day and 1 week after the treatment in the two groups（P〈0.05）. No significant difference was found in case number of remedial measures and adverse reactions between the two groups. Conclusion The efficacy is similar between the super lizer irradiation and the injection therapy for effective treatment to primary greater occipital neuralgia.

关 键 词：直线偏振光 神经传导阻滞 枕大神经痛 

分 类 号：R277.751[医药卫生—中医学]