心理疗法在神经阻滞治疗在老年带状疱疹后遗神经痛中的疗效分析  

Explore the efficacy of nerve blocking and psychotherapy in the combined treatment of senile post herpetic neuralgia

作　　者：陈星玲[1] 宋世兰[1] 杨建平[1] 魏武洪[1] 陈晓玉[1] 周甜甜[1] 雷山川[1] 

机构地区：[1]重庆医科大学附属永川医院,重庆402160

出　　处：《激光杂志》2013年第4期127-127,129,共2页Laser Journal

摘　　要：目的:探讨神经阻滞联合心理治疗应用于老年带状疱疹后遗神经痛的疗效。方法:选择老年带状疱疹后遗神经痛60例,采用随机对照试验,随机分为两组(n=30):采用神经阻滞联合心理治疗作为试验组;采用神经阻滞作为对照组。采用视觉模拟评分法评估首次治疗前1h、首次治疗后35d时患者疼痛程度,观察两组患者的疗效及不良反应,调查患者对治疗的满意度评价。结果试验组基本治愈17例,显效10例,总有效率为90%,对照组基本治愈12例,显效9例,总有效率为70%,两组总有效率比较差异有统计学意义(P<0.05);试验组对治疗的满意度为97%,对照组对治疗的满意度为76%,两组对治疗的满意度比较差异有统计学意义(P<0.05)。结论神经阻滞联合心理治疗老年带状疱疹后遗神经痛疗效好,并发症少,病人对治疗的满意度高,值得推广应用。Abstract： Objective： To explore the efficacy of nerve blocking and psychotherapy in the combined treatment of senile post herpetic neuralgia. Method Sixty senile patients with post - herpetic neuralgia were randomly divided into 2 groups（n = 30） ：nerve blocking combined with psychotherapy as a trial group and nerve blocking as a control group. Assess the pain degree 1 hours before and 35 days after the first treatment by Visual analog scale, observe the efficacy and adverse reaction of twogroups of patients, and investigate the patient satisfaction for the treatment. Results; In the trial group17 cases werecured; 10 cases were eitectiveand the total eff-eetive rate was 90%. In the control group 12 cases were cured;9 cases were effective and the total effective rate was 70%. The difference of total effective rate between two groups was statistically significant （ P 〈 0.05 }. Satisfaction with treatment of the trial group was 97 % and the control group was 76%. The two groups on satisfaction with treatment difference was statistically significant （ P 〈 0.05 ）. Conclusions The treatment of senile post herpetic neuralgia is effective by Nerve blocking combined with psychotherapy. And the treatment should be widely applied , since there are fewer complications and the high degree of patient satisfaction with the treatment.

关 键 词：带状疱疹后遗神经痛 心理治疗 神经阻滞 疗效 

分 类 号：TN248.1[电子电信—物理电子学]