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带状疱疹后神经痛患者应用星状神经节阻滞联合选择性神经根阻滞的疗效观察及对其睡眠质量的影响
作者姓名:李传明  蔡晓辉
作者单位:上海市嘉定区中医医院疼痛科;上海市嘉定区中医医院骨伤科
摘    要:目的:观察星状神经节阻滞(Stellate Ganglion Block,SGB)联合选择性神经根阻滞治疗对带状疱疹后神经痛(Post-herpetic Neuralgia,PHN)患者的疗效及睡眠质量的影响。方法:选取2018年9月至2020年7月上海市嘉定区中医医院收治的PHN患者95例作为研究对象,按照随机数字表法将其随机分为观察组(n=47)和对照组(n=48)。2组患者均给予营养神经、口服止痛药等常规药物治疗,对照组患者在此基础上行选择性神经根阻滞术;观察组在对照组的基础上给予SGB。观察2组患者治疗前后视觉模拟评分(Visual Analogue Scale,VAS)、焦虑自评量表评分(Self-Rating Anxiety Scale,SAS)、抑郁自评量表评分(Self-rating Depression Scale,SDS)、睡眠质量评分(Self-Rating Scale of Sleep,SRSS)和治疗疗效。结果:观察组患者治疗总有效率为95.74%,显著高于对照组83.33%(P<0.05)。治疗前,2组患者的VAS、SAS及SDS评分比较差异无统计学意义(P>0.05);治疗后,观察组患者的VAS、SAS及SDS评分显著低于对照组(P<0.05);观察组患者SRSS评分显著低于对照组(t=3.734,P<0.05)。结论:星状神经节阻滞联合选择性神经根阻滞治疗可有效缓解PHN疼痛和不良情绪,提高PHN患者生命质量和睡眠质量,治疗效果好,值得临床推广运用。

关 键 词:带状疱疹后神经痛  星状神经节阻滞  选择性神经根阻滞  睡眠质量

Observation on the Effects and Sleep Quality of Stellate Ganglion Block Combined with Selective Nerve Root Block in Patients with Post-herpetic Neuralgia
Authors:LI Chuanming  CAI Xiaohui
Institution:(1 Department of Pain Treatment,Jiading Hospital of Traditional Chinese Medicine,Shanghai 201800,China;Department of Orthopedic,Jiading Hospital of Traditional Chinese Medicine,Shanghai 201800,China)
Abstract:Objective:To observe the effects and sleep quality of stellate ganglion block(SGB)combined with selective nerve root block in patients with post-herpetic neuralgia(PHN).Methods:From September 2018 to July 2020,95 PHN patients in Jiading Hospital of TCM were selected as subjects and randomly divided into study group(47 cases)and control group(48 cases).Both groups were treated with neurotrophic and oral analgesics medication.The control group received selective nerve root block,while the study group received SGB combined with selective nerve root block.The visual analogue scale(VAS)scores,self-rating anxiety and depression scale(SAS,SDS)scores,sleep quality(SRSS)scores,and therapeutic effects were observed.Results:The total response rate in the study group was 95.74%,significantly higher than 83.33%in the control group(P<0.05).Before treatment,no significant differences were found in VAS,SAS,SDS scores between the 2 groups(P>0.05).After treatment,the study group got significantly lower VAS,SAS and SDS scores than the control group(P<0.05).Besides,the SRSS scores of study group were significantly lower than those of the control group(t=3.734,P<0.05).Conclusion:SGB combined with selective nerve root block can effectively relieve PHN and unhealthy emotions,improve their life and sleep quality,with good therapeutic effects.
Keywords:Post-herpetic neuralgia  Stellate ganglion block  Selective nerve root block  Sleep quality
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