超声引导下微创介入术治疗带状疱疹后神经痛的研究  

Application of ultrasound-guided minimally invasive interventional surgery in the treatment for postherpetic neuralgia

作　　者：徐幼苗[1] 刘悦[1] 张志利[1] 刘晓东[2] 赵健鑫 刘婷婷[1] XU You-miao;LIU Yue;ZHANG Zhi-li(Department of Pain,First Hospital of Qinhuangdao,Qinhuangdao 066000,China;不详)

机构地区：[1]秦皇岛市第一医院疼痛科,河北秦皇岛066000 [2]秦皇岛市第一医院超声科,河北秦皇岛066000 [3]秦皇岛市第一医院放疗CT室,河北秦皇岛066000

出　　处：《中国医学装备》2022年第2期106-110,共5页China Medical Equipment

摘　　要：目的:研究超声引导下微创介入手术在带状疱疹后神经痛治疗作用。方法:选取在医院进行治疗的120例带状疱疹后神经痛患者,按照随机数表法将其分为观察组和对照组,每组60例。观察组采取超声引导的微创介入手术治疗,对照组采取CT引导的微创介入手术治疗,比较两组患者的治疗时间、治疗费用、住院时间、疼痛情况、生活质量、睡眠质量以及并发症发生情况。结果:两组患者的治疗时间及住院时间相比,差异无统计学意义;观察组患者的治疗费用显著低于对照组,差异有统计学意义(t=12.564,P<0.05);经过治疗后,两组患者术后6个月各个阶段的疼痛评分标准(VAS)之间的差异有统计学意义(t=7.776,P<0.05),观察组患者各个阶段的VAS评分显著低于对照组;治疗6个月后观察组患者的生理功能、生理职能、躯体疼痛、一般健康、精力、社会功能、情感职能以及心理健康方面评分显著高于对照组,差异有统计学意义(t=2.786,t=2.950,t=2.469,t=2.938,t=2.706,t=6.552,t=2.753,t=3.545;P<0.05);两组患者的入睡质量、入睡时间、睡眠效率、睡眠障碍、睡眠药物以及日间功能障碍评分均显著下降,且观察组患者的入睡质量、入睡时间、睡眠效率、睡眠障碍、睡眠药物以及日间功能障碍评分显著低于对照组,差异有统计学意义(t=4.121,t=2.887,t=2.754,t=4.086,t=4.921,t=4.742;P<0.05);两组患者的头晕、嗜睡以及乏力之间的差异无统计学意义(P>0.05)。结论:超声引导下微创介入手术在带状疱疹后神经痛治疗中效果显著。Objective:To study the effect of ultrasound-guided minimally invasive interventional surgery in the treatment for postherpetic neuralgia(PHN).Methods:120 patients with PHN who admitted to hospital were selected as the research object,and they were divided into observation group and control group according to random number method,with 60 cases in each group.The observation group was treated with ultrasound-guided minimally invasive interventional surgery,and the control group was treated with computed tomography(CT)-guided minimally invasive interventional surgery.The treatment time,treatment cost,hospitalization time,pain,quality of life,sleep quality and complications were compared between the two groups.Results:There were no significant difference in the treatment time and hospitalization time between the two groups.The treatment cost of observation group was significantly lower than that of control group(t=12.564,P<0.05).After treatment,there was significant differences in the visual analogue scale(VAS)scores of each stage of 6 months after operation between two groups(t=7.776,P<0.05).And the VAS score of observation group was significant lower than that of observation group in each stage of 6 months after operation.After 6 months of treatment,the scores of physiological function,physical role,physical pain,general health,vigor,social function,emotional role and mental health of observation group were significantly higher than those of control group(t=2.786,t=2.950,t=2.469,t=2.938,t=2.706,t=6.552,t=2.753,t=3.545,P<0.05),respectively.And the scores of falling asleep quality,falling asleep time,sleep efficiency,sleep disorders,sleep medicine and daytime dysfunction of two groups significantly decreased,and the scores of falling asleep quality,falling asleep time,sleep efficiency,sleep disorders,sleep medicine and daytime dysfunction in observation group were significantly lower than those in control group(t=4.121,t=2.887,t=2.754,t=4.086,t=4.921,t=4.742,P<0.05),respectively.There were no significant differences i

关 键 词：带状疱疹 神经痛 微创 介入 超声引导 

分 类 号：R445.1[医药卫生—影像医学与核医学]