CT引导下射频热凝治疗原发性三叉神经痛的效果分析  

Effect Analysis of CT-Guided Radiofrequency Thermocoagulation in Treatment of Primary Trigeminal Neuralgia

作　　者：权全 Quan Quan(Department of Pain,People's Hospital of Jiawang District of Xuzhou City,Xuzhou 221011,Jiangsu Province,China)

机构地区：[1]徐州市贾汪区人民医院疼痛科,江苏徐州221011

出　　处：《中国社区医师》2024年第25期19-21,共3页Chinese Community Doctors

摘　　要：目的:分析CT引导下射频热凝治疗原发性三叉神经痛的效果。方法:研究对象为2019年6月—2023年6月徐州市贾汪区人民医院收治的80例原发性三叉神经痛患者,随机分为对照组及观察组,各40例。对照组实施星状神经节阻滞,观察组实施CT引导下射频热凝。比较两组疼痛情况、治疗效果、并发症发生情况、生活干扰。结果:治疗后3、6个月后,两组疼痛评分比治疗前低,且观察组比对照组低(P<0.05)。观察组治疗总有效率高于对照组,并发症总发生率低于对照组(P<0.05)。治疗后6个月后,两组食欲、睡眠、精神状态、情绪、生活情趣、与人交往评分低于治疗前,且观察组低于对照组(P<0.05)。结论:CT引导下射频热凝治疗原发性三叉神经痛的效果显著,可减轻患者疼痛,降低并发症发生率,改善对生活的干扰。Objective:To analyze the effect of CT-guided radiofrequency thermocoagulation in treatment of primary trigeminal neuralgia.Methods:The study subjects were 80 patients with primary trigeminal neuralgia admitted to the People's Hospital of Jiawang District of Xuzhou City from June 2019 to June 2023.They were randomly divided into control group and observation group,each group 40 cases.The control group underwent stellate ganglion block,and the observation group underwent CT-guided radiofrequency thermocoagulation.The pain,treatment effect,complications and life disturbance were compared between the two groups.Results:After 3 and 6 months after treatment,the pain scores in the two groups were lower than those before treatment,and the observation group were lower than those in the control group(P<0.05).The total effective rate of treatment in the observation group was higher than that in the control group,and the total incidence rate of complications was lower than that in the control group(P<0.05).After 6 months of treatment,the scores of appetite,sleep,mental state,emotion,interest in life,and interpersonal interaction in the two groups were lower than those before treatment,and those in the observation group were lower than those in the control group(P<0.05).Conclusion:CT-guided radiofrequency thermocoagulation has a significant effect in the treatment of primary trigeminal neuralgia,and can relieve the pain,reduce the incidence of complications,and improve the interference to life.

关 键 词：原发性三叉神经痛 CT引导下射频热凝 星状神经节阻滞 

分 类 号：R745.11[医药卫生—神经病学与精神病学]