Feasibility and Effect Evaluation of Transcranial Magnetic Stimulation in the Treatment of Refractory Trigeminal Neuralgia
Objective To explore the feasibility and therapeutic effect of transcranial magnetic stimulation in the treatment of refractory trigeminal neuralgia.Methods A total of ninety patients with refractory trigeminal neuralgia admitted to the First Affiliated Hospital of Hunan Normal University from February 2022 to February 2023 were non-randomly selected as the research objects.According to different treatment methods,they were divided into two groups,forty-five cases in each group.The control group was treated with stellate ganglion block(SGB)therapy,and the observation group was treated with repetitive transcranial magnetic stimulation on the basis of the control group.The pain degree,pain relief rate,comprehensive pain assessment score and adverse reactions were compared be-tween the two groups.Results After 2 weeks of treatment,there were no statistically significant differences in pain scores between the two groups(P>0.05).After 4 weeks of treatment,3 months after treatment,6 months after treat-ment,the pain degree of the observation group was lower than that of the control group,and the differences were sta-tistically significant(all P<0.05).The pain relief rate of the observation group was 93.33%(42/45),which was better than 75.56%(34/45)of the control group,and the difference was statistically significant(χ2=5.414,P<0.05).After treatment,the quality of life scores of the two groups increased,and the observation group was higher than the con-trol group,the difference was statistically significant(P<0.05).The incidence of adverse reactions in the observation group was 4.44%(2/45),which was lower than 26.67%(12/45)in the control group,and the difference was statisti-cally significant(χ2=8.459,P<0.05).Conclusion Transcranial magnetic stimulation is effective in the treatment of refractory trigeminal neuralgia,which not only reduces the pain of patients,improves the quality of life,but also im-proves the pain relief rate and reduces the incidence of adverse reactions.
Cranial magnetic stimulationRefractoryTrigeminal neuralgiaStellar ganglion blockAnesthesia
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