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超声引导下胸椎旁神经阻滞治疗43例带状疱疹神经痛的疗效分析

安政庄;吕岩;袁宏杰;陕西中医药大学附属医院疼痛科;空军军医大学西京医院疼痛科;江苏省南通市中医院疼痛科;

摘要: 目的探讨超声引导下胸椎旁神经阻滞(TPVB)与常规TPVB和普瑞巴林治疗带状疱疹后神经痛(PHN)的近期和远期疗效。方法选择2014年9月至2016年9月于空军军医大学西京医院疼痛科就诊的PHN患者85例,根据治疗方法不同分为3组,其中给予超声引导下TPVB复合普瑞巴林等药物治疗43例(超声阻滞组);常规阻滞治疗17例(常规阻滞组),给予盲法TPVB复合普瑞巴林等药物治疗;单纯药物治疗25例(药物治疗组),给予普瑞巴林等药物治疗。观察3组患者治疗后1、6个月的VAS评分和睡眠改善情况。结果治疗后1、6个月,超声阻滞组VAS评分明显低于常规阻滞组和药物治疗组(P<0.05)。超声阻滞组6个月治愈率明显高于药物治疗组(P<0.05)。超声阻滞组患者6个月后睡眠时间明显高于药物治疗组(P<0.05)。结论超声引导下TPVB对PHN有较好的近期和远期效果。
关键词:疱疹,带状;神经痛,带状疱疹后;胸椎旁神经阻滞;超声引导;普瑞巴林;

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