Therapeutic effect observation of erector spinae plane block combined with pectoralis nerves block in the treatment of postherpetic neuralgia
Objective To investigate the efficacy and safety of erector spinae plane block(ESPB)combined with pectoralis nerves block(PECS)in the treatment of postherpetic neuralgia(PHN).Methods Seventy-eight patients with PHN treated in the Department of Pain Management,Beijing Anzhen Hospital,Capital Medical University from August 2022 to July 2023 were enrolled.There were 18 males and 60 females,aged from 45 to 83 years,with an average of(64±19)years.Thirty-eight patients were treated by thoracic paravertebral nerve block combined with local nerve block in the lesion area(control group),including 11 males and 27 females,whose median course of disease was 5(3,11.8)months.Forty patients were treated by ESPB combined with PECS(observation group),including seven males and 33 females,whose median course of disease was 4.5(3,10.5)months.The visual analogue scale(VAS)and self-rating depression scale(SDS)were used to assess the pain intensity before and four weeks after treatment.Results After four weeks of treatment,the VAS and SDS scores were significantly lower than those before treatment[VAS:1(1,2)vs.7.5(7,8),P<0.001;SDS:53(53,53)vs.55(53,57),P<0.001].And the VAS score was negatively correlated with the spread segment after combined treatment(r=-0.341 6,P=0.031).The incidence of pneumothorax(0 case vs.four cases)and local bleeding(three cases vs.23 cases)of observation group was significantly lower than those of the control group(P<0.05).Conclusions ESPB combined with PECS for the treatment of PHN is a safe,effective,and easy-to-operate method.
万方数据
维普
