摘要
目的:回顾性研究超声引导下椎旁神经阻滞与竖脊肌平面阻滞治疗带状疱疹疼痛的临床疗效及不良反应等,旨在为优化临床镇痛技术方案提供循证依据。方法:查阅2017年8月~2019年8月南华大学附属第二医院疼痛科住院资料。共选入125例患者的住院资料,其中椎旁神经阻滞组(52例)、竖脊肌平面阻滞组(48例)、对照组(25例)。采用SPSS 19.0统计软件对数据进行统计学分析。结果:三组患者的基本情况、不良反应等差异均无统计学意义(P>0.05);与对照组比较,椎旁神经阻滞组和竖脊肌平面阻滞组患者入院后第3天、第7天、第14天及出院时疼痛评分,出院时睡眠质量评分及住院天数均降低,差异具有统计学意义(P<0.05);竖脊肌平面阻滞组的区域神经阻滞次数大于椎旁神经阻滞组,差异具有统计学意义(P<0.05)。结论:超声引导下椎旁神经阻滞和竖脊肌平面阻滞治疗带状疱疹性疼痛均能获得显著镇痛效果,其中超声引导下椎旁神经阻滞组接受区域神经阻滞次数少于竖脊肌平面阻滞组。
Objective Retrospective study of the clinical efficacy and adverse reactions of ultrasound-guided paravertebral block and erector spinae block for the treatment of zoster associated pain,in order to provide evidence-based basis for optimizing clinical analgesia.Method Check out the inpatient data of the pain department of the Second Hospital of University of South China from August 2017 to August 2019.A total of 125 paients of hospitalization data were selected,including paravertebral nerve block group(52 cases),erector spinae block group(48 cases),and control group(25 cases).Statistical analysis was performed on the data using SPSS 19.0 statistical software.Results There were no significant differences in the basic conditions and adverse reactions between the three groups(P>0.05).Compared with the control group,the paravertebral block group and the erector spinae block group were 3 days,7 days,and 14 days after admission.Pain scores at day and discharge,sleep quality scores and hospitalization days at discharge were all statistically significant(P<0.05).The number of regional nerve block in the erector spinae block was greater than that in the paravertebral nerve block.The difference was statistically significant(P<0.05).Conclusion Ultrasound-guided paravertebral block and erector spinae block for the treatment of zoster associated pain can achieve significant analgesic effect,in which ultrasound-guided paravertebral block group receives regional nerve block times less than erector spinae block group.
作者
蒋李平
邹聪
何云武
JIANG Li-ping;ZOU Cong;HE Yun-wu(Department of Pain,The Second Affiliated Hospital of University of South China,Hengyang 421001,China)
出处
《吉林医学》
CAS
2021年第9期2092-2095,共4页
Jilin Medical Journal
