短时程脊髓电刺激联合利多卡因凝胶贴膏治疗带状疱疹性神经痛的疗效观察

Effect of short-term electrical stimulation of Ridge Marrow combined with Lidocaine Gel paste on postherpetic NEURALGIA

摘要:

目的：探讨短时程脊髓电刺激联合利多卡因凝胶贴膏治疗带状疱疹后遗神经痛经的疗效。方法：收集2019年10月-2020年12月成都中医药大学附属医院疼痛科就诊的带状疱疹后遗神经痛病人60例，随机分为两组。观察组（n=30）。短时程脊髓电刺激联合空白凝胶贴膏治疗组为对照组，在短时程脊髓电刺激术后联合利多卡因凝胶贴膏治疗90天（n=30），对照组在短时程脊髓电刺激术后联合空白凝胶贴膏治疗90天（n=30），两组患者均联合普瑞巴林口服治疗。患者在短时程脊髓电刺激术后3天、7天、30天、90天进行随访每次随访收集疼痛缓解情况、睡眠质量指数及不良反应等情况。结果：在治疗后第1天、3天、7天、30天、90天观察组疼痛改善情况较对照组明显（P＜0.05）。结论：带状疱疹后遗神经痛患者采用短时程脊髓电刺激联合利多卡因凝胶贴治疗临床疗效确切，治疗总有效率高，临床症状改善明显，联合治疗的方式值得临床推广使用。

Abstract:

Objective: to investigate the effect of short-term spinal cord electrical stimulation combined with Lidocaine Gel paste in the treatment of postherpetic Neuralgia. METHODS: 60 patients with postherpetic NEURALGIA from October 2019 to December 2020 were randomly divided into two groups. Observation Group (N=30). The control group was treated with short-term electrical stimulation of the spinal cord combined with Blank Gel Patch for 90 days (N=30), the Control Group was treated with Blank Gel Patch for 90 days (N=30) after short-term spinal cord electrical stimulation, and both groups were treated with oral pregabalin. Patients were followed up 1,3,7,30 and 90 days after STSS. Pain relief, sleep quality index and adverse reactions were collected at each follow-up. Results: On the 1st, 3rd, 7th, 30th and 90th day after treatment, the improvement of pain in the observation group was more significant than that in the control group (p<0.05). CONCLUSION: short-term spinal cord electrical stimulation combined with Lidocaine Gel Patch is effective in the treatment of postherpetic Neuralgia. The total effective rate is high and the clinical symptoms are obviously improved, the way of combined therapy is worth popularizing and using in clinic.