短时程外周神经电刺激治疗亚急性期头面部带状疱疹神经痛疗效分析

Analysis of the Efficacy of Short-term Peripheral Nerve Electrical Stimulation in the Treatment of Subacute Herpes Zoster Neuralgia of the Head and Face

摘要:

目的:探讨短时程外周神经电刺激治疗亚急性期头面部带状疱疹神经痛的疗效。方法:收集武汉大学人民医院疼痛科2021年1月至2023年8月收治的亚急性期头面部带状疱疹性神经痛且接受短时程外周神经电刺激治疗患者的临床资料,共纳入52例患者并进行随访,分别记录患者术前及术后1周、2周、1月、3月、6月的疼痛视觉模拟评分法(Visual Analogue Score, VAS)评分、匹兹堡睡眠质量指数(Pittsburgh sleep quality index,PSQI),并进行比较分析。结果:各随访时间点VAS评分显著下降(P＜0.001)、睡眠质量显著改善(P＜0.001),术后6个月疼痛缓解有效率(疼痛缓解≥50%为有效)为90.4%。结论:短时程外周神经电刺激能有效缓解亚急性期头面部带状疱疹神经痛,改善患者睡眠质量。

Abstract:

Objective: To investigate the efficacy of short-term peripheral nerve stimulation in the treatment of subacute herpes zoster neuralgia of the head and face. Methods: Clinical data were collected from patients with subacute herpes zoster neuralgia of the head and face who received short-term peripheral nerve electrical stimulation treatment at the Pain Department of Renmin Hospital of Wuhan University from January 2021 to August 2023. A total of 52 patients were included and followed up. Pain Visual Analogue Scale (VAS) scores and Pittsburgh Sleep Quality Index (PSQI) were recorded and compared at preoperative, 1 week, 2 weeks, 1 month, 3 months, and 6 months postoperative intervals. Results: VAS scores significantly decreased (P < 0.001) and sleep quality significantly improved (P < 0.001) at all follow-up time points. The effective rate of pain relief (defined as ≥50% pain relief) at 6 months postoperative was 90.4%. Conclusion: Short-term peripheral nerve electrical stimulation effectively alleviates subacute herpes zoster neuralgia of the head and face and improves patients" sleep quality.