侧隐窝联合皮内给予复方倍他米松对老年人腰骶段带状疱疹后神经痛的疗效

发布时间：2018-05-28 21:15

本文选题：腰骶段 + 带状疱疹后神经痛　；参考：《郑州大学学报(医学版)》2014年02期

【摘要】：目的:探讨不同方式给予复方倍他米松对老年人腰骶段带状疱疹后神经痛的疗效。方法:将82例腰骶段带状疱疹后神经痛的老年患者分为侧隐窝治疗组(n=18)、皮内治疗组(n=21)、侧隐窝联合皮内治疗组(n=24)和对照组(n=19)。所有患者入院后给予盐酸曲马多100 mg/d以及加巴喷丁900 mg/d治疗,除对照组外其余3组均按分组给予复方倍他米松治疗,比较4组患者治疗前后自发性疼痛视觉模拟评分(VAS)、痛觉过敏VAS和睡眠质量评分。结果:4组患者治疗前后自发性疼痛VAS、痛觉过敏VAS、睡眠质量评分比较,差异均有统计学意义(自发性疼痛VAS:F组间=9.468,F时间=456.796,F交互=9.684,P均0.001;痛觉过敏VAS:F组间=12.620,F时间=390.196,F交互=11.361,P均0.001;睡眠质量评分:F组间=11.552,F时间=158.694,F交互=6.900,P均0.001)。结论:侧隐窝联合皮内给予复方倍他米松对老年人腰骶段带状疱疹后神经痛疗效较好。
[Abstract]:Objective: to investigate the effect of compound betamethasone on lumbosacral post herpes zoster neuralgia in the elderly. Methods: 82 elderly patients with lumbosacral postherpetic neuralgia were divided into two groups: lateral recess treatment group (n = 18), intradermal treatment group (n = 21), lateral recess combined with intradermal treatment group (n = 24) and control group (n = 19). All the patients were treated with tramadol hydrochloride for 100 mg/d and gabapentin for 900 mg/d. The other three groups were treated with compound betamethasone in groups except the control group. The visual analogue scores of spontaneous pain, hyperalgesia VAS and sleep quality were compared before and after treatment. Results the scores of spontaneous pain, hyperalgesia and sleep quality were compared between the 4 groups before and after treatment. There were significant differences between the two groups (P = 0.001, P = 0.001, P = 0.001, P = 0.001, P = 0.001, P = 0.001, P = 9.684F, P = 0.001, P = 0.001, P = 0.001, P = 11.361F, P = 0.001, P = 0.0001, P = 0.0001, P = 0.001, P = 0.001, P = 0.001, P = 0.001, P = 0.001, P = 0.001, P = 0.001, P = 0.001, P = 0.001, P = 0.001, P = 0.001, P = 0.001, P = 0.001). Conclusion: lateral recess combined with intradermal administration of compound betamethasone is effective in the treatment of postherpetic lumbosacral neuralgia in the elderly.
【作者单位】：河南省人民医院疼痛科;
【分类号】：R752.12

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