211例三叉神经痛患者22年治疗情况及3年冷冻治疗的评价

• 作 者: 赵宗林
• 出 处: 国外医学.口腔医学分册
• 发表日期: 1985年03期
• 关键词: 三叉神经痛 冷冻治疗 氨甲酰苯 体位性低血压 大伦丁 闸门控制学说 药物治疗 半月神经节 退行性变性 神经分布区

作者从1959年至1981年共治疗了211例三叉神经痛(简称PTN)患者。治疗包括药物治疗和冷冻治疗两个部份。一、药物治疗最初治疗中80%PTN患者疼痛缓解可维持几个月;20%的患者可长达数年。1966年使用氨甲酰苯(Carbamazepine)后,84%的患者疼痛能控制。如加服大伦丁(Phenytoin),有效率可升至93%。服药期间患者血象均有下降,另外可有眩晕、嗜睡、体位性低血压以及皮诊等副作用。二、冷冻治疗

The authors treated 211 patients with trigeminal neuralgia (PTN) from 1959 to 1981. Treatment includes medication and cryotherapy two parts. First, the initial treatment of drug treatment, 80% of patients with PTN pain relief can be maintained for several months; 20% of patients up to several years. After using Carbamazepine in 1966, pain was controlled in 84% of patients. If added to Phenytoin, the efficiency can be as high as 93%. During the medication patients have decreased blood, other may have dizziness, drowsiness, orthostatic hypotension and other side effects of diagnosis. Second, cryotherapy