激光杂志
激光雜誌
격광잡지
LASER JOURNAL
2013年
4期
127-127,129
,共2页
陈星玲%宋世兰%杨建平%魏武洪%陈晓玉%周甜甜%雷山川
陳星玲%宋世蘭%楊建平%魏武洪%陳曉玉%週甜甜%雷山川
진성령%송세란%양건평%위무홍%진효옥%주첨첨%뇌산천
带状疱疹后遗神经痛%心理治疗%神经阻滞%疗效
帶狀皰疹後遺神經痛%心理治療%神經阻滯%療效
대상포진후유신경통%심리치료%신경조체%료효
Post herpetic neuralgia%psychotherapy%nerve blocking%curative effect
目的：探讨神经阻滞联合心理治疗应用于老年带状疱疹后遗神经痛的疗效。方法：选择老年带状疱疹后遗神经痛60例，采用随机对照试验，随机分为两组（n＝30）：采用神经阻滞联合心理治疗作为试验组；采用神经阻滞作为对照组。采用视觉模拟评分法评估首次治疗前1h、首次治疗后35d时患者疼痛程度，观察两组患者的疗效及不良反应，调查患者对治疗的满意度评价。结果试验组基本治愈17例，显效10例，总有效率为90％，对照组基本治愈12例，显效9例，总有效率为70％，两组总有效率比较差异有统计学意义（P＜0．05）；试验组对治疗的满意度为97％，对照组对治疗的满意度为76％，两组对治疗的满意度比较差异有统计学意义（P＜0．05）。结论神经阻滞联合心理治疗老年带状疱疹后遗神经痛疗效好，并发症少，病人对治疗的满意度高，值得推广应用。
目的：探討神經阻滯聯閤心理治療應用于老年帶狀皰疹後遺神經痛的療效。方法：選擇老年帶狀皰疹後遺神經痛60例，採用隨機對照試驗，隨機分為兩組（n＝30）：採用神經阻滯聯閤心理治療作為試驗組；採用神經阻滯作為對照組。採用視覺模擬評分法評估首次治療前1h、首次治療後35d時患者疼痛程度，觀察兩組患者的療效及不良反應，調查患者對治療的滿意度評價。結果試驗組基本治愈17例，顯效10例，總有效率為90％，對照組基本治愈12例，顯效9例，總有效率為70％，兩組總有效率比較差異有統計學意義（P＜0．05）；試驗組對治療的滿意度為97％，對照組對治療的滿意度為76％，兩組對治療的滿意度比較差異有統計學意義（P＜0．05）。結論神經阻滯聯閤心理治療老年帶狀皰疹後遺神經痛療效好，併髮癥少，病人對治療的滿意度高，值得推廣應用。
목적：탐토신경조체연합심리치료응용우노년대상포진후유신경통적료효。방법：선택노년대상포진후유신경통60례，채용수궤대조시험，수궤분위량조（n＝30）：채용신경조체연합심리치료작위시험조；채용신경조체작위대조조。채용시각모의평분법평고수차치료전1h、수차치료후35d시환자동통정도，관찰량조환자적료효급불량반응，조사환자대치료적만의도평개。결과시험조기본치유17례，현효10례，총유효솔위90％，대조조기본치유12례，현효9례，총유효솔위70％，량조총유효솔비교차이유통계학의의（P＜0．05）；시험조대치료적만의도위97％，대조조대치료적만의도위76％，량조대치료적만의도비교차이유통계학의의（P＜0．05）。결론신경조체연합심리치료노년대상포진후유신경통료효호，병발증소，병인대치료적만의도고，치득추엄응용。
Objective :To explore the efficacy of nerve blocking and psychotherapy in the combined treatment of senile post herpetic neuralgia .Method Sixty senile patients with post -herpetic neuralgia were randomly divided into 2 groups(n = 30):nerve blocking combined with psychotherapy as a trial group and nerve blocking as a control group .Assess the pain degree 1 hours before and 35 days after the first treatment by Visual analog scale ,observe the efficacy and adverse reaction of two groups of patients ,and investigate the patient satisfaction for the treatment .Results :In the trial group 17 cases were cured ;10 cases were effective and the total effective rate was 90% .In the control group 12 cases were cured ;9 cases were effective and the total effective rate was 70% .The difference of total effective rate between two groups was statistically significant (P <0 .05) .Satisfaction with treatment of the trial group was 97% and the control group was 76% . The two groups on satisfaction with treatment difference was statistically significant (P < 0 .05 ) .Conclusions The treatment of senile post herpetic neuralgia is effective by Nerve blocking combined with psychotherapy .And the treatment should be widely applied ,since there are fewer complications and the high degree of patient satisfaction with the treatment .
