医用三氧水背根神经节注射联合高电压脉冲射频治疗恶性肿瘤化疗后合并急性带状疱疹神经痛患者的临床研究
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1.桂林市人民医院疼痛科;2.桂林市人民医院神经外科;3.荔浦市人民医院麻醉科;4.桂林医学院基础医学院;5.桂林市人民医院肿瘤科;6.广西医科大学第二附属医院疼痛科

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国家自然科学基金课题地区项目(81560378);桂林市科技局攻关课题(2020011207-13);广西卫健委课题(Z20210070)#共同第一作者, 通信作者 :何睿林 Synf061@126.com


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1.Department of Pain, Guilin People '2.'3.s Hospital;4.Department of Neurosurgery, Guilin People '5.Department of Anesthesiology, Lipu People '6.s Hospita;7.Basic Medical College of Guilin Medical College;8.Department of Oncology, Guilin People '9.Department of Pain, the Second Affiliated Hospital of Guangxi Medical University

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    摘要:

    目的 探讨医用三氧水注射背根神经节结合高电压脉冲射频治疗恶性肿瘤化疗后合并急性带状疱疹神经痛的临床疗效。方法 选择恶性肿瘤化疗并发胸腰段急性带状疱疹神经痛患者86例(VAS评分法﹥6),分成2组(每组43),高电压脉冲射频组(对照组)和高电压脉冲射频联合医用三氧水注射(实验组),所有患者都接受相同基础治疗,分别于术前、术后1天、3天、7天、15天和30天对患者疼痛、睡眠质量和负性情绪评分;观察患者带状疱疹后遗神经疼痛发生情况和不良反应。结果: 实验组较对照组患者在术后各观察时点VAS评分和睡眠质量和负性情绪值低有显著性(P<0.05);实验组患者发生带状疱疹后遗神经疼痛和其他不良反应较对照组低有显著性(P<0.05)。 结论 高电压脉冲射频联合三氧水注射治疗恶性肿瘤化疗后合并急性期带状疱疹神经痛老年患者可有效减少疼痛,改善患者负性情绪和睡眠质量,减少后遗神经疼痛发生。

    Abstract:

    Objective To investigate the clinical efficacy of medical three oxygen water injection of dorsal root ganglion combined with high voltage pulsed radiofrequency in the treatment of malignant tumor complicated with acute herpes zoster neuralgia after chemotherapy. Methods 86 patients with malignant tumor chemotherapy complicated with acute thoracolumbar herpes zoster neuralgia ( VAS score > 6 ) were selected and divided into two groups ( 43 in each group ), high-voltage pulsed radiofrequency group ( control group ) and high-voltage pulsed radiofrequency combined with medical ozone injection ( experimental group ). All patients received the same basic treatment. The pain, sleep quality and negative emotion scores of the patients were scored before operation and 1 day, 3 days, 7 days, 15 days and 30 days after operation. The incidence of postherpetic neuralgia and adverse reactions were observed. Results The VAS score, sleep quality and negative emotion value of the experimental group were significantly lower than those of the control group at each observation time point after operation ( P < 0.05 ). The incidence of postherpetic neuralgia and other adverse reactions in the experimental group was significantly lower than that in the control group ( P < 0.05 ). Conclusion High-voltage pulsed radiofrequency combined with ozone water injection in the treatment of elderly patients with acute herpes zoster neuralgia after chemotherapy for malignant tumors can effectively reduce pain, improve patients " negative emotions and sleep quality, and reduce the occurrence of postherpetic neuralgia.

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  • 收稿日期:2024-05-04
  • 最后修改日期:2024-06-09
  • 录用日期:2024-09-12
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