摘要
目的评价超声引导下高电压脉冲射频术治疗老年人颈段急性期带状疱疹性神经痛的有效性及安全性。方法选择颈段急性期带状疱疹性神经痛老年患者107例,对照组为口服加巴喷丁治疗,治疗组为口服加巴喷丁联合超声引导下高电压脉冲射频术治疗,两组患者依据疼痛程度调整加巴喷丁用量。记录患者治疗前及治疗后4周的每周疼痛数字评价量表(NRS)评分、睡眠质量(SQ)评分、加巴喷丁周用量及不良反应、预后情况。结果治疗组患者术后第1~4周的NRS评分明显低于对照组(P<0.05);治疗组患者术后第1、2周的SQ评分明显高于对照组(P<0.05);治疗组患者术后第2~4周的加巴喷丁周用量明显少于对照组(P<0.05)。治疗组患者带状疱疹后神经痛、头晕、嗜睡发生率明显少于对照组(P<0.05)。结论超声引导下高电压脉冲射频术治疗老年人颈段急性期带状疱疹性神经痛疗效更佳,减少加巴喷丁用量及不良反应,降低带状疱疹后神经痛发生率,提高患者生活质量。
Objective To evaluate the effectiveness and safety of ultrasound-guided high-voltage pulsed radiofrequency(PRF)for the treatment of elderly patients with cervical acute herpes zoster neuralgia(AHN).Methods A total of 107 elderly patients with cervical AHN were selected and divided into the control group and treatment group.The control group was given oral gabapentin,and the treatment group was given oral gabapentin combined with high-voltage PRF.The dose of gabapentin was adjusted based on the patient′s pain degree.The per week numeric rating scale(NRS)score and sleep quality(SQ)scores before treatment and in 4 weeks after treatment,week dose of gabapentin,adverse reactions,and prognosis were recorded.Results The NRS score in postoperative 1-4 weeks in the treatment group was significantly lower than that in the control group(P<0.05).The SQ score in postoperative 1,2 weeks in the treatment group was significantly higher that in the control group(P<0.05),the week dose of gabapentin in postoperative 2-4 weeks in the treatment group was significantly less than that in the control group(P<0.05).The incidence rate of dizziness,sleepiness and post herpes zoster neuralgia(PHN)in the treatment group was significantly lower than that in the control group(P<0.05).Conclusion Ultrasound-guided high-voltage PRF is more better for treating elderly patients with acute cervical AHN,decreases the dose of gabapentin and the incidence rate of PHN and improves the quality of life.
作者
王波
张华
杜忠举
夏菊荣
WANG Bo;ZHANG Hua;DU Zhongju;XIA Jurong(Department of Anesthesiology/Pain,Hangzhou Municipal Third People′s Hospital,Hangzhou,Zhejiang,310009,China)
出处
《重庆医学》
CAS
2020年第8期1289-1292,共4页
Chongqing medicine
基金
浙江省杭州市科学技术计划项目(20180533B61)。
关键词
超声引导
高电压
脉冲射频
老年人
急性期带状疱疹神经痛
ultrasound-guided
high-voltage
pulsed radiofrequency
elderly
acute herpes zoster neuralgia
