A clinical study on prevention of postherpetic neuralgia in the elderly by short-term spinal cord stimulation
Objective:To explore the efficacy of short-term spinal cord stimulation in the treatment of elderly herpes zoster pain and the prevention of postherpetic neuralgia.Methods:Two hundred herpes zoster patients who visited the Pain Department of China-Japanese Friendship Hospital from August 2020 to November 2022 were selected.The patients were divided into a medication treatment group(M group)and a short-term spinal cord stimulation treatment group(S group)by the random number table.M group was given routine medication treatment,while S group received short-term spinal cord stimulation treatment.The pain,sleep,quality of life,complications,and prognosis of disease in two groups were observed.Results:A total of 168 patients were ultimately enrolled,including 90 in M group and 78 in S group.The visual analogue scale(VAS)score,Athens insomnia scale(AIS)score,and QL-index scale in both groups improved compared with before treat-ment(P<0.001),while the improvement in group S was more significant(P<0.05).After 3 months of treatment,the incidence of PHN in S group was lower than that in S group(P<0.05).Conclusion:Short-term spinal cord stim-ulation can improve elderly herpes zoster neuralgia and has a preventive effect on the occurrence of PHN.