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目的评价椎间孔阻滞加痛点注药在带状疱疹后神经痛(简称PHN)中的治疗效果。方法本组共60例,随机分成二组;治疗组30例,采用椎间孔阻滞加痛点注药;对照组30例,单用椎间孔阻滞治疗。阻滞液为含克痛宁的混合液。结果治疗后3-8周,两组显效率分别为76.67%、90.00%,经统计学处理差异显著(P<0.05);依随访时间延长,两组镇痛效果为优的病例均无疼痛复发或加重,而原镇痛效果非显著的病例疼痛在逐渐缓解,12个月内,两组原镇痛效果非显著的病例22例中有11例转为优(占50%),提示含克痛宁的阻滞液行神经阻滞治疗有可能存在远期疗效。结论椎间孔阻滞加痛点注药是治疗PHN的一种较理想方法。
Objective To evaluate the therapeutic effect of intervertebral foraminotomy plus pain injection in post-herpetic neuralgia (PHN). Methods A total of 60 patients were randomly divided into two groups. The treatment group (30 cases) was treated with intervertebral foraminotomy and injection of pain points. The control group (30 cases) was treated with intervertebral foramen block alone. Blocking solution containing Ke Tong Ning mixture. Results After 3-8 weeks of treatment, the effective rates of the two groups were 76.67% and 90.00%, respectively, and the difference was statistically significant (P <0.05). According to the prolonged follow-up period, no pain recurrence occurred in both groups Or exacerbated, while the original analgesic effect of non-significant cases of pain gradually eased within 12 months, two groups of primary analgesic non-significant cases, 22 cases, 11 cases turned to excellent (50%), suggesting that grams Tong Ning block liquid line of nerve block treatment may have long-term efficacy. Conclusion Intervertebral foramina with pain point injection is a more ideal method to treat PHN.