Clinical study of short-term spinal cord electrical stimulation and bipolar pulse radiofrequency therapy for postherpetic neuralgia
Objective:To compare the clinical efficacy of short-term spinal cord stimulation(stSCS)and bipolar pulse radiofrequency(bPRF)in the treatment of postherpetic neuralgia(PHN).Methods:A total of 108 patients with PHN admitted to the First Affiliated Hospital of Fujian Medical University from September 2021 to December 2022 were selected as the study objects,and they were divided into stSCS group(40 cases)and bPRF group(68 cases)according to operation methods.Visual analogue scale(VAS),Pittsburgh sleep quality index(PSQI),self-rating anxiety scale(SAS),and self-rating depression scale(SDS)were used to evaluate clinical efficacy.Results:The scores of VAS,PSQI,SAS,and SDS in both groups were significantly lower than those before surgery(T0)at all time points(P<0.05).The VAS score of stSCS group was significantly lower than that of bPRF group at 6 months(T7),9 months(T8),and 12 months(T9)(P<0.05)while there was no significant difference on 1 day(T1),7 days(T2),14 days(T3),28 days(T4),2 months(T5),and 3 months(T6)after surgery.The PSQI,SAS,and SDS scores in stSCS group were significantly lower than those in bPRF group at T8 and T9(P<0.05)but there was no significant difference at T1 to T7.Conclusion:The short-term efficacy of stSCS group and bPRF group is similar,and both can safely and effectively treat PHN.The long-term therapeutic advantage of the stSCS group is more significant.
万方数据
维普
