超声引导下竖脊肌平面阻滞联合高压氧在带状疱疹后神经痛患者中的应用效果

目的:探讨超声引导下竖脊肌平面阻滞联合高压氧在带状疱疹后神经痛患者中的应用效果。方法:选取2017年1月至2019年8月解放军第九八八医院86例带状疱疹后神经痛患者为研究对象，按照随机数字表法将患者分为2组，每组43例。对照组接受超声引导下竖脊肌平面阻滞治疗，观察组在超声引导下竖脊肌平面阻滞治疗后2 d接受高压氧治疗，...

Effect of ultrasound-guided erector spinae plane block combined with hyperbaric oxygen in patients with postherpetic neuralgia

Objective To explore the effect of ultrasound-guided erector spinal plane block(ESPB)combined with hyperbaric oxygen(HBO)in patients with post-herpetic neuralgia(PHN).Methods A total of 86 patients with PHN admitted to No.988 Hospital of CPLA from January 2017 to August 2019 were selected as the research subjects and equally divided into two groups by the random number table method.The patients in the control group received ultrasound-guided ESPB therapy,while the patients in the observation group received HBO therapy on the second day after ultrasound-guided ESPB.The pain severity(VAS scores),levels of inflammatory factors,and treatment effectiveness were compared between the two groups.Results After treatment,the VAS scores of the patients in both two group were significantly lower than those before treatment;the differences of pain severities between the two groups were also statistically significant;the VAS scores of the observation group were lower than those of the control group;all the differences were statistically significant(P<0.05).After 3 weeks of treatment,the levels of C-reactive protein(CRP),interleukin-6(IL-6),tumor necrosis factorα(TNF-α),and preprocalcitonin(PCT)in the two groups were all lower than those before treatment;the levels of those inflammatory factors in the observation group were lower than those of the control group;all the differences were statistically significant(P<0.05).The effective rates of the observation group and the control group were 83.72%and 74.42%respectively,with statistically significant difference(P<0.05).Conclusion Ultrasound-guided ESPB combined with HBO therapy can better relieve the pain,reduce inflammation,and ensure treatment efficiency for patients with PHN.It is clinically worthy of promotion.