神经阻滞联合射频手术治疗口腔颌面部三叉神经疼痛的效果观察  

Therapeutic effects of nerve block combined with radiofrequency ablation on trigeminal nerve pain in oral and maxillofacial region

作　　者：李子涵[1] 王宏沛[1] 郭健[1] 雷丹 Li Zihan;Wang Hongpei;Guo Jian;Lei Dan(Department of Pain,Second Hospital of Lanzhou University,Lanzhou 730030,China)

机构地区：[1]兰州大学第二医院疼痛科,730030

出　　处：《中国实用医刊》2020年第5期44-46,共3页Chinese Journal of Practical Medicine

摘　　要：目的探究神经阻滞联合射频手术治疗口腔颌面部三叉神经疼痛的临床效果。方法选取兰州大学第二医院2016年12月至2018年10月收治的80例口腔颌面部三叉神经疼痛患者进行研究,按照患者入院先后进行编号分组,分为单一组(前40例)和联合组(后40例),分别给予神经阻滞法治疗和神经阻滞联合射频手术治疗。比较两组疗效、治疗前后疼痛程度、疼痛发作频率、不良反应发生情况及生活质量。结果单一组治疗优良率为70.00%(28/40),联合组治疗优良率为90.00%(36/40),差异有统计学意义(P<0.05)。治疗后,联合组疼痛程度评分、疼痛发作频次、治疗1年后生活质量各项干扰度评分均低于单一组(P<0.05);且联合组不良反应发生率(5.00%,2/40)低于单一组(25.00%,10/40),P<0.05。结论在口腔颌面部三叉神经疼痛患者临床治疗中,采取神经阻滞和射频手术能有效改善患者疼痛症状,降低疼痛发作频率和疼痛程度,减少不良反应发生,提高患者生活质量,具有较高的远、近期疗效。Objective To investigate the clinical effects of nerve block combined with radiofrequency ablation in the treatment of trigeminal pain in oral and maxillofacial region.Methods Eighty patients with trigeminal pain in oral and maxillofacial region admitted to Second Hospital of Lanzhou University from December 2016 to October 2018 were enrolled in the study.The patients were grouped according to the order of admission,of which the first 40 cases were allocated into single group and the latter 40 cases were allocated into combined group.And the single group was treated by nerve block therapy,and the combined group was treated by nerve block combined with radiofrequency surgery.The efficacy,degree of pain before and after treatment,frequency of pain,incidence of adverse reactions,and quality of life were compared between the two groups.Results The excellent and good rate of treatment was 70.00%(28/40)in the single group,and 90.00%(36/40)in the combined group;the difference in excellent and good rate was significant between the two groups(P<0.05).After treatment,the pain scores,frequency of pain onset and quality of life interference scores of the combined group were lower than those of the single group(P<0.05);moreover,the adverse reaction rate of the combined group was 5.00%(2/40),lower than the 25.00%(10/40)of the single group(P<0.05).Conclusions In the treatment of patients with oral and maxillofacial trigeminal pain,nerve block and radiofrequency surgery can effectively improve the pain symptoms,reduce the frequency and degree of pain,reduce the incidence of adverse reactions,and improve the quality of life of patients,with great long-term efficacy.

关 键 词：口腔颌面部 三叉神经疼痛 神经阻滞 射频手术 

分 类 号：R651.3[医药卫生—外科学]