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彩色多普勒超声引导下脊神经根脉冲射频治疗带状疱疹后神经痛的临床价值 被引量:2

Clinical value of pulsed radiofrequency therapy on spinal nerve root guided by color Doppler ultrasound for postherpetic neuralgia
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摘要 目的探讨彩色多普勒超声引导下脊神经根脉冲射频治疗带状疱疹后神经痛的临床价值。方法选取于我院就诊的颈、胸、腰神经支配区域带状疱疹后神经痛患者120例,随机分为A、B组,每组各60例,其中A组采用彩色多普勒超声引导下脊神经根脉冲射频治疗,B组采用X光引导下脊神经根脉冲射频治疗,比较两组治疗前和治疗后1 d、1周、4周、12周视觉模拟量表(VAS)评分、药物使用情况,以及两组各部位治疗时间、平均治疗时间及不良反应。结果两组治疗后1 d、1周、4周、12周VAS评分均较治疗前降低,治疗后1周、4周、12周普瑞巴林、曲马多平均用量均较治疗前减少,差异均有统计学意义(均P<0.05)。A组颈神经根、胸神经根治疗时间及平均治疗时间均短于B组,差异均有统计学意义(均P<0.05)。两组均未发生明显血肿、气胸、损伤神经、感染等并发症。结论彩色多普勒超声引导下脊神经根脉冲射频治疗带状疱疹后神经痛安全、有效、治疗时间短、可有效减少药物使用,具有重要的临床价值。 Objective To explore the clinical value of pulsed radiofrequency therapy on spinal nerve root guided by color Doppler ultrasound for postherpetic neuralgia.Methods A total of 120 patients with postherpetic neuralgia in the innervated areas of cervical nerve,thpracic nerve and lumbar nerve were selected from our hospital.They were randomly divided into group A and group B,60 cases in each group.Group A received pulsed radiofrequency therapy on spinal nerve root guided by color Doppler ultrasound,group B received pulsed radiofrequency therapy on spinal nerve root guided by X-ray machine.Visual analog scale(VAS)scores,drug use,treatment time and adverse reactions were compared between the two groups before and after treatment 1 d,1 week,4 weeks and 12 weeks.Results VAS scores at 1 d,1 week,4 weeks and 12 weeks after treatment were lower than that before treatment,and the average dosage of pregabalin and tramadol was lower than those before treatment,with statistical significances(all P<0.05).The treatment time and average treatment time of cervical nerve root and thoracic nerve root in group A were lower than those in group B,and the differences were statistically significant(all P<0.05).No complications such as hematoma,pneumothorax,nerve injury and infection occurred in both groups.Conclusion Pulsed radiofrequency therapy on spinal nerve root for postherpetic neuralgia guided by color Doppler ultrasound is safe and effective,and can effectively reduce treatment time and drug dosage,which has important clinical value.
作者 王小川 易天新 胡俊桥 张军 冷文飞 WANG Xiaochuan;YI Tianxin;HU Junqiao;ZHANG Jun;LENG Wenfei(Department of Pain Management,Traditional Chinese Medicine Hospital of Dianjiang,Chongqing 408300,China)
出处 《临床超声医学杂志》 CSCD 2023年第7期576-580,共5页 Journal of Clinical Ultrasound in Medicine
基金 重庆市中医药重点学科建设项目[渝中医(2021)16号] 垫江县社会民生科技创新专项(djkjxm2020shmskjcxyw010)。
关键词 超声检查 多普勒 彩色 带状疱疹 神经痛 脊神经根 脉冲射频 Ultrasonography,Doppler,color Herpes zoster,neuralgia Spinal nerve root Pulsed radiofrequency
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