脊神经根脉冲射频对老年急性带状疱疹疗效的观察

目的 评价脊神经根脉冲射频联合神经妥乐平(NTP)硬膜外注射治疗老年患者急性带状疱疹神经痛的疗效.方法选择2015年1-12月该院急性期带状疱疹神经痛患者60例,年龄60~85岁,分为观察组和对照组,对照组给予NTP硬膜外注射,观察组给予神经根脉冲射频联合NTP硬膜外注射,观察对患者急性带状疱疹神经痛的治疗效果.采用视觉模拟评分(VAS)评价疼痛缓解情况,采用匹兹堡睡眠质量指数(PSQI)评价睡眠改善情况,并计算带状疱疹后遗神经痛(PHN)发生率.结果 治疗后1、3、6个月各时间点,两组患者VAS、PSQI评分均显著低于治疗前(P<0.05);与对照组比较,观察组治疗后各时间点VAS评分明显低于对照组(P<0.05);治疗后6个月,观察组PHN发生率明显低于对照组(P<0.05).结论 脊神经根脉冲射频联合NTP硬膜外腔注射是治疗老年患者急性带状疱疹神经痛的有效方法,可以显著缓解患者疼痛,降低PHN的发生率.

Observation on therapeutic effect of nerve root pulsed radiofrequency in elderly acute herpes zoster

Objective To evaluate the effect of nerve root pulsed radiofrequency combined with neurotropin(NTP) by epidural injection for treating neuralgia in elderly patients with herpeszoster. Methods Sixty patients aged 60-85 years old with herpes zoster neuralgia were selected and divided into the observation group and control group. The control group was given the epidural injection of NTP,while the observation group was given the therapy of nerve root pulsed radiofrequency combined with NTP. Then the curative effects were observed in the two groups. The visual analogue scale (VSA) and Pittsburgh sleep quality index (PSQI) were used to evaluate the status of sleep improvement and the occurrence rate of post herpetic neuralgia (PHN) was also calculated. Results The VAS and PSQI scores at each time points of 1,3,6 months in the both groups were significantly superior to those before treatment (P<0.05). Compared with the control group,the VAS score at each time point after treatment in the observation group was significantly superior to that in the control group(P<0.05) ;The PHN occurrence rate after 6 months of treatment in the observation group was significantly lower than that in the control group (P<0.05). Conclusion Nerve root pulsed radiofrequency combined with NTP by epidural injection is a good method for treating neuralgia in elderly patients with herpes zoster.