孙琳,杨晓秋,李南,周泽军,左蕾△(重庆医科大学附属第一医院疼痛科 重庆 重庆市400016)

Retrospective Analysis of Clinical Efficacy of Ultrasound-guided Peripheral Nerve Pulse Radiofrequency and Never Block in the Treatment of Elderly Patients with Postherpetic NeuralgiaSun Lin,Yang Xiaoqiu,Li nan,et al. Department of Pain, the First Affiliated Hospital of Chongqing Medical University, Chongqing, 400016, China

摘要:

目的 探讨彩超引导下周围神经脉冲射频(PR)与周围神经阻滞(PL)治疗老年带状疱疹后神经痛(PHN)患者临床疗效及原因分析。方法 回顾性分析 79例PHN 患者,PL组 59例,PR组 20例。记录两组治疗前后给予止痛药物及抗惊厥药物情况、治疗前后、出院时、出院一周及一月后NRS评分、治疗后出院前有无再次给予额外的神经阻滞治疗、治疗并发症。结果 两组间治疗前及治疗后镇痛药剂量、治疗后及出院时NRS评分无显着差异。两组组内治疗镇痛药物剂量、出院时及治疗后NRS评分比较治疗前有显著降低(P<0.05),PR组出院一周后及一个月后NRS评分较PL组显著降低(P<0.05)。结论 彩超引导下周围神经脉冲射频与周围神经阻滞治疗老年患者PHN均可使镇痛药物剂量明显减少,疼痛评分下降,且安全无严重并发症,但彩超引导下周围神经脉冲射频治疗远期疗效更佳。

Abstract:

Objective To evaluate the clinical effect of ultrasound-guided peripheral nerve pulse radiofrequency (PR) and peripheral never block (PL) in the treatment of elderly patients with postherpetic neuralgia. Method A total of 79 patients diagnosed with PHN divided into two groups, 59 cases in PL group, 20 cases in PR group were included. Patients in PL group were successfully treated with ultrasound-guided peripheral never block during hospitalization,while patients in PR group were successfully treated with ultrasound-guided peripheral nerve pulse radiofrequency.The therapeutic effects were evaluated using numeric rating score NRS before and after treatment,even on discharge, one week and one month after discharge. The doses of analgesic and anticonvulsant drugs were also evaluated before and after the treatment. result There were no significant differences in the doses of analgesic and anticonvulsant drugs, NRS scores after treatment and at discharged between the two groups, while they at discharged and after treatment in the two groups were significantly lower than those before treatment (P<0.05),NRS score on one week and one month after discharge of PR group was significantly lowerer than that of PL group (P<0.05). Conclusion Ultrasound-guided peripheral nerve pulse radiofrequency and peripheral never block can significantly reduce the dosage of analgesic drugs, reduce pain score, and have no serious complications in the treatment of elderly patients with postherpetic neuralgia. Long-term curative effect of ultrasound-guided peripheral nerve pulse radiofrequency in the treatment of elderly patients with postherpetic neuralgia was better.