椎旁神经阻滞在带状疱疹疼痛治疗中的意义

目的观察椎旁神经阻滞治疗带状疱疹神经痛的临床疗效。方法带状疱疹神经痛患者60例随机分为两组,各30例。观察组在常规抗病毒治疗的同时在CT导向下行椎旁神经阻滞术;对照组常规抗病毒治疗而不进行椎旁神经阻滞术。比较两组治疗前后疼痛视觉模拟评分(VAS)及后遗神经痛(PHN)的发生率。结果治疗后1 d、1周、2周及1个月时两组VAS评分均较治疗前显著下降,差异有统计学意义(P<0.05);观察组各时间段均明显低于对照组,差异均有显著统计学意义(P<0.05);与对照组比较,观察组PHN发生率明显降低,差异有统计学意义(P<0.05)。结论椎旁神经阻滞术治疗带状疱疹神经痛疗效显著,值得临床推广应用。

Objective To observe the clinical effect of paravertebral nerve block in the treatment of herpes zoster neuralgia. Methods 60 patients with herpes zoster neuralgia were randomly divided into observation group and control group, each 30 cases, the observation group in the conventional therapy at the same time, under the guidance of CT paravertebral nerve block; control without paravertebral nerve block group of conventional antiviral therapy. Compared two groups before and after treatment, the pain visual analogue scale （VAS） and postherpetic neuralgia （PHN） incidence. Results After the treatment, 1 days, 1 weeks, 2 weeks and 1 months of two groups of VAS score significantly lower than before treatment, the difference was statistically significant （P〈 0.05）; observation group each time period were significantly lower than the control group, the differences were statistically significant （P〈0.05）; compared with the control group, the observation group the incidence of PHN decreased significantly, the difference was statistically significant （P 〈 0.05）. Conclusion Paravertebral nerve block in the treatment of herpes zoster neuralgia curative effect, can be popularized.