OBJECTIVE:To observe the clinical efficacy of acupuncture along fascia,meridians,and nerves combined with ultrasound-guided nerve blockage in the treatment of postherpetic neuralgia.METHODS:A total of 61 outpatients w...OBJECTIVE:To observe the clinical efficacy of acupuncture along fascia,meridians,and nerves combined with ultrasound-guided nerve blockage in the treatment of postherpetic neuralgia.METHODS:A total of 61 outpatients with post-chest and back herpes zoster neuralgia were recruited in the Department of Pain at the Xiyuan Hospital,China Academy of Chinese Medical Sciences from May 2019 to June 2021.They were randomly divided into two groups.Thirty-one patients in the control group were treated with ultrasound-guided thoracic paravertebral nerve block(PVB)alone,one patient declined to continue during treatment(n=30),and thirty patients in the observation group received the acupuncture along the fascia,meridians,and nerves combined with ultrasound-guided PVB treatment(n=30).Both control and observation group received treatment weekly for 4 weeks.The medical history data such as age,sex,presence or absence of comorbidities and disease course were analyzed.The visual analog scale(VAS)score was used to assess the pain degree of two groups at T0(before treatment),T1(1-time treatment ended),T2(2 times treatment ended),T3(3 times treatment ended),and T4(4 times treatment ended).The sleep state was examined by Pittsburgh Sleep Quality Index(PSQI)before and after the study.RESULTS:There was no significant difference in general conditions between the control group and the observation group(P>0.05).The VAS score in both control and observation group was decreased in a time-dependent manner after 1-4 weeks of treatment.There were no significant differences in VAS scores between the two groups after 1 or 2 weeks of treatment(P>0.05).After 3 and 4 weeks of treatment,the VAS score was significantly decreased in the observation group compared with that in the control group(P<0.001).In addition,the reduction in VAS score(after treatment-before treatment)between the two groups was statistically significant[D value:-1.53,95%CI(-2.32,0.74),P<0.001].Furthermore,the sleep state of patients in both groups markedly improved and much obvious in the observation group than that in the control group(P<0.05).CONCLUSION:These results suggest that a combination of acupuncture along fascia,meridians,and nerves with ultrasound-guided PVB treatment is more effective than ultrasound-guided PVB treatment alone.展开更多
目的:观察连续髂筋膜间隙阻滞镇痛在老年髋部骨折手术患者中的应用效果。方法:选取2021年1月至2022年12月叶县人民医院收治的102例老年髋部骨折手术患者进行前瞻性研究,按照随机数字表法将其分为观察组和对照组各51例。对照组采用静脉...目的:观察连续髂筋膜间隙阻滞镇痛在老年髋部骨折手术患者中的应用效果。方法:选取2021年1月至2022年12月叶县人民医院收治的102例老年髋部骨折手术患者进行前瞻性研究,按照随机数字表法将其分为观察组和对照组各51例。对照组采用静脉自控镇痛,观察组采用连续髂筋膜间隙阻滞镇痛。比较两组术后不同时间(术后12、24、48 h)疼痛[视觉模拟评分法(VAS)]评分,手术前后疼痛介质[前列腺素E_(2)(PGE_(2))、神经生长因子(NGF)]水平、应激指标[内皮素-1(ET-1)、肾上腺素(E)、去甲肾上腺素(NE)]水平,以及不良反应发生率。结果:观察组术后12、24、48 h VAS评分均低于对照组,差异有统计学意义(P<0.05);术后24 h,观察组PGE_(2)、NGF、ET-1、E、NE水平均低于对照组,差异有统计学意义(P<0.05);观察组不良反应发生率为5.88%(3/51),低于对照组的19.61%(10/51),差异有统计学意义(P<0.05)。结论:连续髂筋膜间隙阻滞镇痛应用于老年髋部骨折手术患者可降低疼痛评分、疼痛介质水平、应激指标水平和不良反应发生率,效果优于静脉自控镇痛。展开更多
目的:评价髋关节囊周围神经阻滞(Pericapsular nerve block of hip joint,PENG)在单侧髋关节置换术老年患者手术前后镇痛中的应用效果及安全性。方法:选取2021年5月至2022年5月期间我院收治的127例单侧髋关节置换术老年患者作为研究对象...目的:评价髋关节囊周围神经阻滞(Pericapsular nerve block of hip joint,PENG)在单侧髋关节置换术老年患者手术前后镇痛中的应用效果及安全性。方法:选取2021年5月至2022年5月期间我院收治的127例单侧髋关节置换术老年患者作为研究对象,随机将患者分为FICB组和PENG组,FICB组63例给予髂筋膜间隙神经阻滞(Iliac fascial space nerve block,FICB),PENG组64例给予PENG,观察两组患者麻醉阻滞操作时间,镇痛效果以及不良反应的发生率。结果:PENG组超声定位时间、穿刺注药时间以及阻滞操作时间均短于FICB组(P<0.05);阻滞后5 min以及术后不同时间段PENG组静息状态以及运动状态疼痛程度数字评估量表(Numerical Rating Scale,NRS)评分均低于FICB组(P<0.05);PENG组镇痛泵的首次按压时间长于FICB组,有效按压次数少于FICB组(P<0.05);两组不良反应发生率无显著差异。结论:相比较于FICB,对进行单侧髋关节置换术老年患者予以PENG可缩短麻醉阻滞操作时间,减轻疼痛,且不增加不良反应发生率。展开更多
文摘OBJECTIVE:To observe the clinical efficacy of acupuncture along fascia,meridians,and nerves combined with ultrasound-guided nerve blockage in the treatment of postherpetic neuralgia.METHODS:A total of 61 outpatients with post-chest and back herpes zoster neuralgia were recruited in the Department of Pain at the Xiyuan Hospital,China Academy of Chinese Medical Sciences from May 2019 to June 2021.They were randomly divided into two groups.Thirty-one patients in the control group were treated with ultrasound-guided thoracic paravertebral nerve block(PVB)alone,one patient declined to continue during treatment(n=30),and thirty patients in the observation group received the acupuncture along the fascia,meridians,and nerves combined with ultrasound-guided PVB treatment(n=30).Both control and observation group received treatment weekly for 4 weeks.The medical history data such as age,sex,presence or absence of comorbidities and disease course were analyzed.The visual analog scale(VAS)score was used to assess the pain degree of two groups at T0(before treatment),T1(1-time treatment ended),T2(2 times treatment ended),T3(3 times treatment ended),and T4(4 times treatment ended).The sleep state was examined by Pittsburgh Sleep Quality Index(PSQI)before and after the study.RESULTS:There was no significant difference in general conditions between the control group and the observation group(P>0.05).The VAS score in both control and observation group was decreased in a time-dependent manner after 1-4 weeks of treatment.There were no significant differences in VAS scores between the two groups after 1 or 2 weeks of treatment(P>0.05).After 3 and 4 weeks of treatment,the VAS score was significantly decreased in the observation group compared with that in the control group(P<0.001).In addition,the reduction in VAS score(after treatment-before treatment)between the two groups was statistically significant[D value:-1.53,95%CI(-2.32,0.74),P<0.001].Furthermore,the sleep state of patients in both groups markedly improved and much obvious in the observation group than that in the control group(P<0.05).CONCLUSION:These results suggest that a combination of acupuncture along fascia,meridians,and nerves with ultrasound-guided PVB treatment is more effective than ultrasound-guided PVB treatment alone.
文摘目的:观察连续髂筋膜间隙阻滞镇痛在老年髋部骨折手术患者中的应用效果。方法:选取2021年1月至2022年12月叶县人民医院收治的102例老年髋部骨折手术患者进行前瞻性研究,按照随机数字表法将其分为观察组和对照组各51例。对照组采用静脉自控镇痛,观察组采用连续髂筋膜间隙阻滞镇痛。比较两组术后不同时间(术后12、24、48 h)疼痛[视觉模拟评分法(VAS)]评分,手术前后疼痛介质[前列腺素E_(2)(PGE_(2))、神经生长因子(NGF)]水平、应激指标[内皮素-1(ET-1)、肾上腺素(E)、去甲肾上腺素(NE)]水平,以及不良反应发生率。结果:观察组术后12、24、48 h VAS评分均低于对照组,差异有统计学意义(P<0.05);术后24 h,观察组PGE_(2)、NGF、ET-1、E、NE水平均低于对照组,差异有统计学意义(P<0.05);观察组不良反应发生率为5.88%(3/51),低于对照组的19.61%(10/51),差异有统计学意义(P<0.05)。结论:连续髂筋膜间隙阻滞镇痛应用于老年髋部骨折手术患者可降低疼痛评分、疼痛介质水平、应激指标水平和不良反应发生率,效果优于静脉自控镇痛。
文摘目的:评价髋关节囊周围神经阻滞(Pericapsular nerve block of hip joint,PENG)在单侧髋关节置换术老年患者手术前后镇痛中的应用效果及安全性。方法:选取2021年5月至2022年5月期间我院收治的127例单侧髋关节置换术老年患者作为研究对象,随机将患者分为FICB组和PENG组,FICB组63例给予髂筋膜间隙神经阻滞(Iliac fascial space nerve block,FICB),PENG组64例给予PENG,观察两组患者麻醉阻滞操作时间,镇痛效果以及不良反应的发生率。结果:PENG组超声定位时间、穿刺注药时间以及阻滞操作时间均短于FICB组(P<0.05);阻滞后5 min以及术后不同时间段PENG组静息状态以及运动状态疼痛程度数字评估量表(Numerical Rating Scale,NRS)评分均低于FICB组(P<0.05);PENG组镇痛泵的首次按压时间长于FICB组,有效按压次数少于FICB组(P<0.05);两组不良反应发生率无显著差异。结论:相比较于FICB,对进行单侧髋关节置换术老年患者予以PENG可缩短麻醉阻滞操作时间,减轻疼痛,且不增加不良反应发生率。
