连续硬膜外镇痛联合射频毁损治疗带状疱疹后遗神经痛的临床疗效  

Clinical efficacy of continuous epidural analgesia combined with radiofrequency ablation in the treatment of neuralgia after herpes zoster

作　　者：张虎 俞悦 关琦 ZHANG Hu;YU Yue;GUAN Qi(Department of Pain,Third Hospital of Benxi City,Benxi,Liaoning,117000,China)

机构地区：[1]本溪市第三医院疼痛科,辽宁本溪117000

出　　处：《当代医学》2023年第7期147-149,共3页Contemporary Medicine

摘　　要：目的探讨连续硬膜外镇痛联合射频毁损治疗带状疱疹后遗神经痛的临床疗效。方法选取2019年2月至2020年8月于本院治疗的92例带状疱疹后遗神经痛患者作为研究对象,随机分为对照组与观察组,每组46例。对照组行连续硬膜外镇痛,观察组行连续硬膜外镇痛联合射频毁损治疗,比较两组疼痛程度、不良反应发生情况及临床疗效。结果治疗前,两组疼痛评分比较差异无统计学意义;治疗后,观察组疼痛评分低于对照组,差异有统计学意义(P<0.05)。治疗后,观察组不良反应发生率低于对照组,差异有统计学意义(P<0.05)。治疗后,观察组治疗总有效率为95.65%,高于对照组的82.61%,差异有统计学意义(P<0.05)。结论连续硬膜外镇痛联合射频毁损治疗带状疱疹后遗神经痛疗效显著,可缓解患者疼痛,减少不良反应,值得临床推广应用。Objective To explore the clinical efficacy of continuous epidural analgesia combined with radiofrequency ablation in the treatment of neuralgia after herpes zoster.Methods 92 patients with postherpetic neuralgia in our hospital from February 2019 to August 2020 were selected as the research subjects,and they were randomly divided into the control groupand and the observation group,with 46 cases in each group.The control group was received continuous epidural analgesia,and the observation group was received continuous epidural analgesia combined with radiofrequency ablation therapy.The pain degree,adverse reactions and curative effectsin between the two groups was compared.Results Before treatment,there was no significant difference in pain scores between the two groups;after treatment,the pain score of the observation group was lower than that of the control group,and the difference was statistically significant(P<0.05).After treatment,the incidence of adverse reactions in observation group was lower than that in control group,and the difference was statistically significant(P<0.05).After treatment,the total effective rate of the observation group was 95.65%,which was higher than 82.61%of the control group,and the difference was statistically significant(P<0.05).Conclusion Continuous epidural analgesia combined with radiofrequency ablation in the treatment of postherpetic neuralgia can improve the efficacy,relieve pain and reduce adverse reactions,which is worth recommended.

关 键 词：带状疱疹 后遗神经痛 连续硬膜外镇痛 射频毁损 疗效 

分 类 号：R581[医药卫生—内分泌]