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高压氧、超短波在带状疱疹后遗神经痛中的临床应用

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目的:研究高压氧加超短波在带状疱疹后遗神经痛(PHN)中的临床应用效果,以期为PHN的临床治疗提供参考依据.方法:选取南昌大学附属三三四医院 2022 年 1 月—2023 年 1 月收治的90 例PHN患者开展试验,将其以随机数字表法分为A组、B组及C组,各 30 例.所有患者均接受维生素B1、维生素B12 及中药内服等常规治疗.A组在常规治疗基础上增用高压氧治疗,B组在常规治疗基础上增用超短波治疗,C组在常规治疗基础上增用高压氧与超短波治疗.所有患者均连续治疗 30 d.对比三组疗效、疼痛程度、血清炎症因子水平.结果:C组总有效率为 96.67%,高于A组与B组的 66.67%(P<0.05).干预30 d后,三组简式麦吉尔疼痛问卷各项评分及总分均低于干预前1 d,且C组均低于A组、B组(P<0.05).干预 30 d后,三组各项血清炎症因子水平均低于干预前 1 d,且C组均低于A组、B组(P<0.05).结论:高压氧联合超短波治疗PHN的效果显著,可有效减轻患者疼痛,降低血清炎症因子水平.
Clinical Application of Hyperbaric Oxygen and Ultrashort Wave in Postherpetic Neuralgia
Objective:To study the clinical application effect of hyperbaric oxygen and ultrashort wave in postherpetic neuralgia(PHN),in order to provide reference for the clinical treatment of PHN.Method:A total of 90 patients with PHN admitted to the 334 Affiliated Hospital of Nanchang University from January 2022 to January 2023 were selected for the experiment,and they were divided into group A,group B and group C by random number table method,with 30 cases in each group.All patients received conventional treatment such as Vitamin B1,Vitamin B12 and traditional Chinese medicine.Group A was treated with hyperbaric oxygen on the basis of conventional treatment,group B was treated with ultrashort wave on the basis of conventional treatment,group C was treated with hyperbaric oxygen and ultrashort wave on the basis of conventional treatment.All patients were treated continuously for 30 days.The therapeutic effect,pain degree and serum inflammatory factors levels of the three groups were compared.Result:The total effective rate of group C was 96.67%,which was higher than 66.67%of group A and group B(P<0.05).After 30 days of intervention,the scores of each item and total scores of short form McGill pain questionnaire in the three groups were lower than those 1 day before intervention,and those in group C were lower than those in group A and group B(P<0.05).After 30 days of intervention,the levels of serum inflammatory factors in three groups were lower than those 1 day before intervention,and the levels in group C were lower than those in group A and group B(P<0.05).Conclusion:Hyperbaric oxygen combined with ultrashort wave is effective in the treatment of PHN,which can effectively reduce pain and serum inflammatory factors.

Postherpetic neuralgiaHyperbaric oxygenUltrashort waveInflammatory factors

周乐花

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南昌大学附属三三四医院康复科 江西 南昌 330024

带状疱疹后遗神经痛 高压氧 超短波 炎症因子

江西省卫生健康委科技项目

SKJP220219274

2024

中国医学创新
中国保健协会

中国医学创新

影响因子:1.706
ISSN:1674-4985
年,卷(期):2024.21(14)
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