摘要
目的观察腹横肌平面阻滞治疗急性期下腹部带状疱疹的临床疗效。方法 28例急性带状疱疹患者随机分为肋间神经阻滞组(IC组,n=14)和腹横肌平面阻滞组(TP组,n=14),分别接受T10、T11、T12椎旁肋间神经阻滞(1次/周,共4次)和患侧腹横肌平面阻滞(1次/周,共4次)。观察两组的阻滞平面范围评分值、结痂时间、4周后通常痛视觉模拟评分和爆发痛视觉模拟评分。结果 TP组阻滞平面评分值明显高于IC组(P<0.05)。TP组皮肤结痂时间明显短于IC组(P<0.05)。TP组疼痛视觉模拟评分值明显低于IC组(P<0.05)。结论腹横肌平面阻滞可以有效控制急性期下腹部带状疱疹所致皮神经疼痛,同时有助于带状疱疹皮损区的愈合。
Objective To observe the efficacy of transversal abdominal plane blockade in treatment of patients with acute herpes zoster in lower abdomen. Methods Twenty- eight patients with acute herpes zoster in lower abdomen were randomly assigned into group IC（ n = 14）,patients in this group received paravertebral intercostal nerve blockade at T10,T11 and T12（ once a week and four times as one course） and patientsin group TP（ n = 14） received transversal abdominal plane blockade（ once a week and four times as one course）. Scales of blockade level（ SBL）,time for forming scab（ TFB）,visual analogue scales（ VAS） of common pain and visual analogue scales（ VAS） of burst pain after four weeks were observed and recorded. Results Scales of blockade level（ SBL） in group TP were higher than those of group IC（ P 〈0. 05）. The duration for forming scab in patients of group TP was shorter than that of patients in group IC（ P 〈0. 05）. Visual analogue scales（ VAS） of common pain and burst pain in patients of group TP were lower than those of patients in group IC（ P 〈0. 05）. Conclusion Transversal abdominal plane blockade is effective in alleviating cutaneous nerve pain caused by herpes zoster in lower abdomen and it is also helpful in healing the skin lesions.
出处
《临床和实验医学杂志》
2016年第12期1208-1210,共3页
Journal of Clinical and Experimental Medicine
关键词
带状疱疹
腹横肌平面阻滞
肋间神经阻滞
Transversal abdominal plane blockade
Herpes zoster
Intercostal nerve blockade
