手动脉冲射频神经调控技术治疗慢性神经病理性痛

THE CLINICAL EFFECTS OF NERVE MANUAL PULSED RADIOFREQUENCY REGULATION TECHNOLOGY ON CHRONIC NEUROPATHIC PAIN

目的:评价手动脉冲射频神经调控技术对治疗慢性神经病理痛的治疗作用。方法:对89例慢性神经病理痛患者采用手动脉冲射频神经调控技术治疗。分别测定患者治疗前、治疗后3天、3个月、6个月、1年视觉模拟评分(visual analogue scale,VAS)并评估疗效。结果:术前VAS评分平均值为8.4±1.6。术后3天、1月、3月、6月、1年VAS评分分别为2.9±1.4、2.1±1.2、1.6±0.8、1.2±0.6、1.1±0.6。与术前相比,术后VAS评分显著降低(P<0.05)。经手动脉冲射频神经调控治疗3 d后,疗效为优77例(86.5%),疗效为良12例(13.5%),没有无效病例。且随着术后时间延长,疗效优的数量增加。结论:手动脉冲射频神经调控技术治疗慢性神经病理痛近期和远期疗效均好,值得推广。

Objective： To evaluation the clinical effects of nerve manual pulsed radiofrequency regulation technology on chronic neuropathic pain. Methods： 89 patients with chronic neuropathic pain were treated with neural manual pulsed radiofrequency regulation technology. The patients were followed up at 3 d, 3 m, 6 m and 1 y after treatment. The visual analogue scale （VAS） and clinical effects were evaluated. Results： The pre-operative VAS was 8.4 ± 1.6. The VAS at 3 d,1 m, 3 m, 6 m and 1 y after operation were 2.9 ± 1.4, 2.1 ± 1.2, 1.6 ± 0.8, 1.2 ± 0.6 and 1.1 ± 0.6 respectively. Compared with pre-operation, the VAS after operation was decreased （P 〈 0.05）. After 3 d treatment, the excellent cases were 77 （86.5%）, the good cases were 12 （13.5%）, and there was no invalid case. With the extension of time, the excellent cases were increasing. Conclusion： Nerve manual pulsed radiofrequency regulation technology for the treatment of chronic neuropathic pain disease has a good curative effect both in the short and long tenn. It is worthy to be promoted.