| 摘要: |
| 目的：观察彩超引导下带状疱疹后神经痛脊神经根脉冲射频疗效。方法：选取2018年9月至2021年12月我院就诊的颈、胸、腰神经支配区域带状疱疹后神经痛患者120例。所有患者均接受曲马多、普瑞巴林治疗且疗效不佳(VAS评分5.0以上)。随机分为 A、B 两组,各60 例。A 组采用彩超引导下脊神经根脉冲射频治疗；B 组采用C臂引导下脊神经根脉冲射频治疗,均治疗 2 次,一周治疗 1 次。分别对患者治疗前、治疗后1天、1周、4周、12周两组VAS评分、治疗时间、药物使用及不良反应等进行比较,观察彩超引导下带状疱疹后神经痛脊神经根脉冲射频治疗的有效性、安全性。结果：彩超引导下带状疱疹后神经痛脊神经根脉冲射频治疗同C臂引导下脊神经根脉冲射频治疗比较,疗效相仿,治疗时间短,能有效减少药品使用,不良反应无增加。结论：采用彩超引导下带状疱疹后神经痛脊神经根脉冲射频治疗,安全有效, 治疗时间短,同时能有效减少药品使用。 |
| 关键词: 彩超引导 带状疱疹后神经痛 脊神经根 脉冲射频 |
| DOI： |
| 投稿时间：2022-11-02修订日期：2023-06-17 |
| 基金项目: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 |
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| To observe the effect of pulsed radiofrequency on spinal nerve root for postherpetic neuralgia guided by color ultrasoundWANG Xiao-chuan LENG Wen-fei YI Tian-xin HU Jun-qiao Zhang Jun |
| wangxiaochuan,LENGWENFEI,yitianxin,hujunqiao,zhangjun |
| () |
| Abstract: |
| Objective: To observe the effect of pulsed radiofrequency on spinal nerve root for postherpetic neuralgia guided by color ultrasound. Methods: A total of 120 patients in our hospital with postherpetic neuralgia in the innervated areas of cervical nerve, thpracic nerve and lumbar nerve were selected from September 2018 to December 2021. All patients received tramadol and pregabalin but the therapy is not good (VAS above 5.0).They were randomly divided into group A and group B, 60 cases in each group。Group A received pulsed radiofrequency therapy for spinal nerve root guided by color ultrasound; Group B received pulsed radiofrequency therapy for spinal nerve root guided by C-arm, All patients were treated twice, Once a week。VAS, treatment duration, medication use and adverse reactions for the two groups were compared between before and after treatment by 1 day, 1 week, 4 weeks and 12 weeks ,To observe the efficacy and safety of pulsed radiofrequency therapy for spinal nerve root of postherpetic neuralgia guided by color ultrasound. Results: Pulsed radiofrequency therapy of spinal nerve root for postherpetic neuralgia guided by color ultrasound was compared with pulsed radiofrequency therapy for spinal nerve root guided by C-arm. The efficacy was similar, the treatment time was shorter, the medication use was effectively reduced, and the adverse reactions were not increased. Conclusion: Pulsed radiofrequency therapy on spinal nerve root for postherpetic neuralgia guided by color ultrasound is safe and effective, the treatment time is shorter, and the medication use can be reduced effectively. |
| Key words: color ultrasound guided postherpetic neuralgia spinal nerve root pulsed radiofrequency |
