目的:观察CT引导下经骶孔神经脉冲射频治疗会阴痛的临床疗效及安全性。方法:选择我科2017年8月至2021年8月符合入选标准的会阴痛病人40例,年龄25~81岁。按随机数字表法分为骶孔神经组(nerves through the sacral foramen,SN)和阴部神经...目的:观察CT引导下经骶孔神经脉冲射频治疗会阴痛的临床疗效及安全性。方法:选择我科2017年8月至2021年8月符合入选标准的会阴痛病人40例,年龄25~81岁。按随机数字表法分为骶孔神经组(nerves through the sacral foramen,SN)和阴部神经组(pudendal nerve through the sciatic spine,PN),每组20例。骶孔神经组采用CT引导下经骶孔神经脉冲射频治疗,阴部神经组采用CT引导下经坐骨棘阴部神经脉冲射频治疗。记录两组病人治疗前、术后1天、2周、1个月、3个月的视觉模拟评分法(visual analogue scale,VAS)评分、小便次数、匹兹堡睡眠质量指数(Pittsburgh sleep quality index,PSQI)、医院抑郁焦虑量表(hospital anxiety and depression scale,HADS)评分。用有效率和显效率评估临床疗效,并记录两组病人术后并发症。结果:阴部神经组有1例未完成随访,最终骶孔神经组20例,阴部神经组19例。两组病人术前VAS、PSQI、HADS评分、小便次数比较差异无统计学意义。在术后各时间点,这些指标均较术前显著降低,且骶孔神经组较阴部神经组降低更明显(P<0.05)。术后1个月、3个月的有效率骶孔神经组分别为100%和95%,高于阴部神经组(94.7%和89.5%)。术后1天、2周、1个月、3个月的显效率均显著高于阴部神经组(P<0.05)。术后两组均未见并发症。结论:经骶孔神经脉冲射频治疗会阴痛与阴部神经脉冲射频相比,在3个月的随访时间内经骶孔神经脉冲射频治疗能更迅速而有效地缓解会阴区疼痛,还可改善睡眠、情绪和排尿等内脏功能。展开更多
This paper introduces the current status of standardization work in marine field of natural resources,and summarizes the important role that standardization has played in promoting the progress of marine science and t...This paper introduces the current status of standardization work in marine field of natural resources,and summarizes the important role that standardization has played in promoting the progress of marine science and technology,assisting the development of marine economy and industry,and improving the level of marine service management.It points out that marine standards are an important technical support for the development of marine economy and society.After analyzing the new situation of marine standardization work,it provides the suggestions on applying a coordinated and unified standard management thinking,promoting the collaborative output of technology and standards,and using standardization to assist the innovative development of natural resource marine industry.展开更多
文摘目的:观察CT引导下经骶孔神经脉冲射频治疗会阴痛的临床疗效及安全性。方法:选择我科2017年8月至2021年8月符合入选标准的会阴痛病人40例,年龄25~81岁。按随机数字表法分为骶孔神经组(nerves through the sacral foramen,SN)和阴部神经组(pudendal nerve through the sciatic spine,PN),每组20例。骶孔神经组采用CT引导下经骶孔神经脉冲射频治疗,阴部神经组采用CT引导下经坐骨棘阴部神经脉冲射频治疗。记录两组病人治疗前、术后1天、2周、1个月、3个月的视觉模拟评分法(visual analogue scale,VAS)评分、小便次数、匹兹堡睡眠质量指数(Pittsburgh sleep quality index,PSQI)、医院抑郁焦虑量表(hospital anxiety and depression scale,HADS)评分。用有效率和显效率评估临床疗效,并记录两组病人术后并发症。结果:阴部神经组有1例未完成随访,最终骶孔神经组20例,阴部神经组19例。两组病人术前VAS、PSQI、HADS评分、小便次数比较差异无统计学意义。在术后各时间点,这些指标均较术前显著降低,且骶孔神经组较阴部神经组降低更明显(P<0.05)。术后1个月、3个月的有效率骶孔神经组分别为100%和95%,高于阴部神经组(94.7%和89.5%)。术后1天、2周、1个月、3个月的显效率均显著高于阴部神经组(P<0.05)。术后两组均未见并发症。结论:经骶孔神经脉冲射频治疗会阴痛与阴部神经脉冲射频相比,在3个月的随访时间内经骶孔神经脉冲射频治疗能更迅速而有效地缓解会阴区疼痛,还可改善睡眠、情绪和排尿等内脏功能。
基金This study is supported by the Innovation Fund of the National Marine Standards and Metrology Center,titled“Research on the operation mechanism of national standards verification points in the marine field of natural resources”(Project No.22-03-04-05A).
文摘This paper introduces the current status of standardization work in marine field of natural resources,and summarizes the important role that standardization has played in promoting the progress of marine science and technology,assisting the development of marine economy and industry,and improving the level of marine service management.It points out that marine standards are an important technical support for the development of marine economy and society.After analyzing the new situation of marine standardization work,it provides the suggestions on applying a coordinated and unified standard management thinking,promoting the collaborative output of technology and standards,and using standardization to assist the innovative development of natural resource marine industry.
