脊神经背根带脉冲射频联合连续性硬膜外阻滞治疗带状疱疹后神经痛临床研究

Clinical Study on the Treatment of Herpes Zoster Neuralgia after Spinal cord Dorsal Root with Pulsed Radiofrequency Combined with Continuous Epidural Block

目的：对脊神经背根带脉冲射频与连续性硬膜外阻滞联合使用在带状疱疹后神经痛疾病治疗上的临床应用效果进行探讨。方法：选取我院2013年10月-2014年10月所接收的42例带状疱疹后神经痛患者作为研究的对象，按随机数字表法分成联合组与对照组，对照组予以连续性硬膜阻滞与加巴喷丁治疗，在此基础之上，对联合组患者予以脊神经背根带脉冲射频治疗，且对2组患者的治疗效果进行观察与比较。结果：在治疗1周、治疗1个月后，2组患者的VAS评分均低于本组治疗前，差异明显，有统计学意义（P〈0．05）；联合组患者在治疗1周、1个月后的VAS评分与对照组比较，明显较低，存在显著性的差异，有统计学意义（P〈0．05）；联合组患者的总有效率（95．2％）高于对照组（76．2％），差异明显，有统计学意义（P〈0．05）。结论：对带状疱疹后神经痛患者予以脊神经背根带脉冲射频与连续性硬膜阻滞联合治疗，疗效确切，且可有效改善患者的疼痛症状，值得在临床上推行。

Objective： Effects of pulsed radiofrequency and continuous epidural block combined with continuous epidural block in the treatment of herpes zoster neuralgia were discussed. Methods： Were selected from our hospital in October 2013 to 2014, the 10 month re- ceived 42 cases of postherpetic neuralgia patients as the research object, according to the random number table method into combination group and control group. Patients in the control group received continuous epidural anesthesia and gabapentin in the treatment of. On this basis, to patients in the combination group be spinal nerve dorsal roots with a pulsed radiofrequency treatment, and of two groups of patients treatment effect of observation and comparison. Results： The treatment one week treatment and a month after, VAS scores of two groups of patients were lower than before treatment in this group, significant difference, statistical significance （ P 〈 0.05 ） ; patients in the combination group in the treatment of a week, a month after the VAS score compared with the control group, significantly higher than the low, there are significant differences, statistical significance （ P 〈 0.05 ） ; patients in the combination group total effective rate （ 95. 2% ） was higher than that of the control group （76.2%）. Significant difference, statistical significance （ P 〈 0.05 ）. Conclusion ： Postherpetic neuralgia patients be spinal nerve dorsal roots with a pulsed RF and continuous epidural anesthesia in combination therapy, curative effect is exact, and can effectively improve the patient＇s pain, it is worth in clinical implementation.