摘要
目的:评价复方倍他米松神经干注射治疗原发性三叉神经痛的临床疗效。方法:原发性三叉神经痛患者80例,随机分为治疗绀和对照组各40例。对照组采用2%利多卡因加维生素B_(12),治疗组采用复方倍他米松,根据疼痛范围行相应神经支局部注射。治疗后1、2、3个月内定期复诊,随访时间3年,观察、比较治疗效果。结果:治疗组和对照组有效率分别为100%和82.5%,3年内复发率分别为17.5%和57.5%,平均复发时间分别为24个月和13个月,以上3项指标两组间均有显著性差异。两组患者均没有明显感觉降低。结论:复方倍他米松局部注射治疗三叉神经痛方法简单,有效率高于传统方法,复发率低,无明显毒副作用,是一种安全有效的治疗方法。
Objective： To investigate the therapeutic efficacy of nerve branch injection with compound betamethasone in primary trigeminal neuralgia. Methods： 80 cases of primary trigeminal neuralgia were randomly distributed into two groups： the control （n=40） and the treatment （n=40）. Nerve branch injection was carried out according to each ache area. The treatment group used compound betamethasone, and the control used with lidocaine and vitamin B12. All patients were examined at one week, one month and three months after treatment. Patients had been followed up for three years. Heal rate and relapse rate were analyzed to value the therapeutics. Results： The effective rate was 100% in the treatment group, while it was 82.5% in the control group. The recurrence rate was 17.5% in the experimental group, and it was 57.5% in the controls. The average recurrence time was 24 and 13 months respectively in the two groups. Conclusion： Compound betamethasone injected into nerve branch in the treatment of trigeminal neuralgia is simple and effective with high heal rate and low recurrence rate.
出处
《口腔颌面外科杂志》
CAS
2008年第3期189-191,共3页
Journal of Oral and Maxillofacial Surgery
关键词
三叉神经痛
复方倍他米松
药物治疗
神经干注射
trigeminal neuralgia
compound betamethasone
drug treatment
nerve branch injection
