超声引导下星状神经节阻滞联合医用三氧自体血回输治疗带状疱疹神经痛  

Ultrasound guided stellate ganglion block combined with medical trioxy autotransfusion in the treatment of herpes zoster neuralgia

作　　者：冯晓月 王祥 李航 高翔 郭耀耀 陈建平 FENG Xiao-yue;WANG Xiang;LI Hang;GAO Xiang;GUO Yao-yao;CHEN Jian-ping(Department of Pain Medicine,Shanxi Bethune Hospital,Taiyuan 030032,China)

机构地区：[1]山西白求恩医院疼痛科,太原030032

出　　处：《中国疼痛医学杂志》2024年第11期827-832,共6页Chinese Journal of Pain Medicine

摘　　要：目的:观察超声引导下星状神经节阻滞(stellate ganglion block, SGB)联合医用三氧自体血回输治疗颈上肢带状疱疹神经痛的临床疗效。方法:回顾性分析2021年6月至2023年1月在山西白求恩医院疼痛科住院的颈上肢急性期带状疱疹神经痛病人80例,按治疗方法分为对照组40例和试验组40例。对照组采用常规药物及医用三氧自体血回输治疗,试验组在对照组治疗基础上联合超声引导下星状神经节阻滞。观察两组病人入院时(T0)、出院时(T1)、出院后1个月(T2)、3个月(T3)视觉模拟评分法(visual analogue scale, VAS)评分、焦虑自评量表(self-rating anxiety scale, SAS)评分、匹兹堡睡眠质量指数(Pittsburgh sleep quality index, PSQI)和加巴喷丁剂量,以及带状疱疹后瘙痒、带状疱疹后神经痛(postherpetic neuralgia, PHN)、不良反应发生率、治疗总有效率。结果:与T0相比,两组T1、T2、T3时VAS、SAS、PSQI评分、加巴喷丁用量均降低,试验组下降更明显;试验组带状疱疹后瘙痒、PHN、不良反应发生率低于对照组,治疗总有效率高于对照组。结论:超声引导下星状神经节阻滞联合医用三氧自体血回输可有效缓解颈上肢带状疱疹神经痛,减少带状疱疹后瘙痒及PHN发生率。Objective:To observe the clinical effect of ultrasound guided stellate ganglion block(SGB)com-bined with medical trioxy autotransfusion in the treatment of herpes zoster neuralgia of upper cervical limb.Methods:A retrospective analysis was performed on 80 patients with acute shingles in upper cervical limb who were hospitalized in the Pain Department of Shanxi Bethune Hospital from June 2021 to January 2023.According to the treatment method,40 cases were divided into control group and 40 cases in experimental group.All patients were treated with conventional drug therapy and medical trioxy autotransfusion,and patients in the experimental group were also treated with ultrasound guided SGB.Observe the visual analogue scale(VAS),self-rating anxiety scale(SAS),Pittsburgh sleep quality index(PSQI),and gabapentin dose at admission(T0),discharge(T1),1 month after discharge(T2),and 3 months after discharge(T3).The incidence of post-herpes zoster pruritus,postherpetic neuralgia(PHN),adverse reactions and the total effective rate were observed in two groups.Results:Compared with T0,VAS,SAS,PSQI scores and gabapentin dosage at T1,T2 and T3 were decreased in two groups,and the decrease was more obvious in experimental group.The incidence of post-herpes zoster pruritus,PHN and adverse reactions in experimental group were lower than that in control group,and the total effective rate was higher than that in control group.Conclusion:Ultrasound guided SGB combined with medical trioxy autotransfusion can effectively relieve herpes zoster neuralgia,reduce the incidence of post-herpes zoster pruritus and PHN.

关 键 词：星状神经节阻滞 医用三氧自体血回输 带状疱疹 神经痛 

分 类 号：R752.12[医药卫生—皮肤病学与性病学]