带状疱疹性神经痛单次与两次脉冲射频治疗临床疗效比较  

Therapeutic effect comparison between single and twice pulsed radiofrequency on zoster related neuralgia

作　　者：胡佳俊 单汉民[1] 罗善红[1] 何焕钟[1] HU Ji-ajun;SHAN Hanmin;LUO Shanhong(Department of Anesthesiology,Huzhou Center Hospital,Huzhou 313000,China)

机构地区：[1]湖州市中心医院麻醉科,浙江湖州313000

出　　处：《全科医学临床与教育》2022年第7期607-609,616,共4页Clinical Education of General Practice

摘　　要：目的研究单次和两次脉冲射频(PRF)治疗带状疱疹性神经痛的(ZRN)疗效。方法选择ZRN并且接受PRF治疗的住院患者。根据PRF次数分为单次PRF组46例和两次PRF组35例。比较两组术前、术后1 d、1周、1个月、3个月、6个月视觉模拟疼痛评分(VAS)、匹兹堡睡眠质量指数(PSQI)。结果两组术前、术后1 d及1周VAS评分比较,差异均无统计学意义(t分别=0.24、1.06、1.28,P均>0.05);两次PRF组术后1个月、3个月、6个月VAS评分均低于单次PRF组(t分别=1.86、2.45、2.84,P均<0.05)。两组术后1周、1个月PSQI评分比较,差异均无统计学意义(t分别=1.38、1.54,P均>0.05);两次PRF组术后1 d、术后3个月、6个月PSQI评分均低于单次PRF组,差异均有统计学意义(t分别=1.69、2.14、2.57,P均<0.05)。结论两次PRF治疗较单次能更好缓解ZRN患者疼痛评分,改善患者睡眠质量。Objective To compare the therapeutic effects between single and twice pulsed radiofrequency(PRF)on zoster related neuralgia.Methods The hospitalized patients who were diagnosed with zoster related neuralgia(ZRN)and received PRF treatment were selected.According to the frequency of PRF,they were divided into once PRF treatment group(46 cases)and twice PRF treatment group(35 cases).The degree of pain was assessed by visual analogue scores(VAS),and the sleep was assessed by Pittsburgh sleep quality index(PSQI).The VAS and PSQI between two groups were compared before surgery,one day,one week,one month,three months,and six months after surgery.Results There was no significant difference in VAS scores between the two groups before surgery,one day and one week after surgery(t=0.24,1.06,1.28,P>0.05).The VAS score at 1 month,3 months and 6 months after surgery in the twice PRF treatment group was lower than that in the once PRF treatment group(t=1.86,2.45,2.84,P<0.05).There was no significant differ-ence in PSQI score between the two groups at one week and one month after surgery(t=1.38,1.54,P>0.05).The PSQI score of the twice PRF treatment group at one day,3 months and 6 months after surgery were higher than that of the once PRF treatment group(t=1.69,2.14,2.57,P<0.05).Conclusion Twice PRF treatment can better relieve the pain score of patients and improve sleep than the once PRF treatment.

关 键 词：脉冲射频 带状疱疹性神经痛 匹兹堡睡眠质量指数 

分 类 号：R752.12[医药卫生—皮肤病学与性病学]