【摘要】：目的探討B(tài)超引導(dǎo)陰部神經(jīng)阻滯(pudendal nerve block,PNB)與傳統(tǒng)陰部神經(jīng)阻滯治療女性陰部神經(jīng)痛的療效。方法回顧性分析2012年11月~2016年8月在我院就診并接受陰部神經(jīng)阻滯的40例陰部神經(jīng)痛的資料,其中19例行B超引導(dǎo)下陰部神經(jīng)阻滯(B超組),21例行傳統(tǒng)陰部神經(jīng)阻滯(傳統(tǒng)組)。根據(jù)疼痛緩解情況進行1~3次神經(jīng)阻滯。治療前、第一次治療后24 h和治療結(jié)束3個月采用視覺模擬評分(visual analog scale,VAS)評估疼痛情況。結(jié)果 2組第一次治療后24 h、治療結(jié)束后3個月的疼痛VAS均顯著低于治療前(P=0.000),B超組治療后24 h疼痛VAS較傳統(tǒng)組更低(Z=-2.451,P=0.014),治療后3個月2組無顯著性差異(Z=-0.542,P=0.588)。主要不良反應(yīng)及并發(fā)癥:臀部及下肢麻木在B超組為31.6%(6/19),傳統(tǒng)組為0(0/21),二者差異有統(tǒng)計學(xué)意義(Fisher檢驗,P=0.007);頭暈在B超組為5.3%(1/19),傳統(tǒng)組為38.1%(8/21),二者差異有統(tǒng)計學(xué)意義(χ~2=4.427,P=0.035)。結(jié)論 B超引導(dǎo)與傳統(tǒng)手法陰部神經(jīng)阻滯治療女性陰部神經(jīng)痛均有效,2組在治療結(jié)束后3個月疼痛治療效果無顯著差異。
[Abstract]:Objective to investigate the effect of B-ultrasound guided pudendal nerve block (pudendal nerve block,PNB) and traditional pudendal nerve block on female pudendal neuralgia. Methods the data of 40 cases of pudendal neuralgia treated in our hospital from November 2012 to August 2016 were retrospectively analyzed. Among them, 19 cases were treated with B-ultrasound guided pudendal nerve block (B-ultrasound group) and 21 cases were treated with traditional pudendal nerve block (traditional group). According to the pain relief, 1 and 3 times of nerve block were performed. Before treatment, 24 hours after the first treatment and 3 months after treatment, the pain was assessed by visual analogue score (visual analog scale,VAS). Results the VAS of group B was significantly lower than that of group B at 24 h after the first treatment and 3 months after the end of treatment (P0. 000). The VAS of group B was lower than that of the traditional group at 24 h after the first treatment (ZP0. 451P0. 014), but there was no significant difference between the two groups at 3 months after treatment (Z-0. 542P0. 588). The main adverse reactions and complications were: hip and lower extremity numbness was 31.6% (6 / 19) in B ultrasonic group and 0 / 21 (0 / 21) in traditional group, the difference was statistically significant (Fisher test P0. 007), dizziness was 5. 3% (1 / 19) in B ultrasonic group and 38. 1% (8 / 21) in traditional group (蠂 2 4. 427 P 0. 035). Conclusion there is no significant difference between the two groups in the treatment of female pudendal neuralgia under the guidance of B-ultrasound and traditional manipulation of pudendal nerve block in 3 months after treatment.
【作者單位】： 北京大學(xué)第三醫(yī)院婦產(chǎn)科;北京大學(xué)第三醫(yī)院疼痛科;北京大學(xué)第三醫(yī)院超聲科;
【分類號】：R711

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