Cargando…

Efficacy of Pulsed Radiofrequency to Cervical Nerve Root for Postherpetic Neuralgia in Upper Extremity

BACKGROUND: Postherpetic neuralgia (PHN) seriously affects a patient’s quality of life, and it is urgent to find a method that can effectively alleviate the PHN of the upper extremity. OBJECTIVE: To observe the Efficacy of pulsed radiofrequency (PRF) to cervical nerve root for PHN in upper extremity...

Descripción completa

Detalles Bibliográficos
Autores principales: Ding, Yuanyuan, Li, Hongxi, Hong, Tao, Yao, Peng
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7186594/
https://www.ncbi.nlm.nih.gov/pubmed/32372914
http://dx.doi.org/10.3389/fnins.2020.00377
_version_ 1783526982894485504
author Ding, Yuanyuan
Li, Hongxi
Hong, Tao
Yao, Peng
author_facet Ding, Yuanyuan
Li, Hongxi
Hong, Tao
Yao, Peng
author_sort Ding, Yuanyuan
collection PubMed
description BACKGROUND: Postherpetic neuralgia (PHN) seriously affects a patient’s quality of life, and it is urgent to find a method that can effectively alleviate the PHN of the upper extremity. OBJECTIVE: To observe the Efficacy of pulsed radiofrequency (PRF) to cervical nerve root for PHN in upper extremity under CT guidance. STUDY DESIGN: Retrospective comparative study. SETTING: Shengjing Hospital of China Medical University. METHODS: Fifty patients with PHN in upper extremity were enrolled in Pain Management. Patients were randomized into two groups: cervical nerve root block (A group, n = 25) and cervical nerve root PRF (B group, n = 25). At each observation time, the general characteristics, visual analog scale (VAS), quality of life scores assessment (SF-36), the total efficacy rate, dosage of antiepileptic and narcotic analgesics, and the incidence of complications were followed up. RESULTS: Compared with the preoperative, the postoperative VAS decreased, the physical component summary (PCS) and the mental component summary (MCS) increased in both groups (P < 0.05). The differences between group B and group A were statistically significant after 1 month, which could be maintained for 1 year (P < 0.05). The total efficacy rate of group A and group B was 52.0% and 80.0% at 1 Year, respectively. The total efficacy rate of group B was higher than that of group A (P < 0.05). The dosage of antiepileptic and narcotic analgesics in group B decreased significantly, and the decline was significant compared with group A (P < 0.05). The incidence of complications between the two groups were similar (P > 0.05). CONCLUSION: CT-guided PRF to cervical nerve root for the treatment of PHN in the upper extremity is safe and effective. PRF can replicate the location of pain, precise positioning, reduce trauma, and increased pain relief rate.
format Online
Article
Text
id pubmed-7186594
institution National Center for Biotechnology Information
language English
publishDate 2020
publisher Frontiers Media S.A.
record_format MEDLINE/PubMed
spelling pubmed-71865942020-05-05 Efficacy of Pulsed Radiofrequency to Cervical Nerve Root for Postherpetic Neuralgia in Upper Extremity Ding, Yuanyuan Li, Hongxi Hong, Tao Yao, Peng Front Neurosci Neuroscience BACKGROUND: Postherpetic neuralgia (PHN) seriously affects a patient’s quality of life, and it is urgent to find a method that can effectively alleviate the PHN of the upper extremity. OBJECTIVE: To observe the Efficacy of pulsed radiofrequency (PRF) to cervical nerve root for PHN in upper extremity under CT guidance. STUDY DESIGN: Retrospective comparative study. SETTING: Shengjing Hospital of China Medical University. METHODS: Fifty patients with PHN in upper extremity were enrolled in Pain Management. Patients were randomized into two groups: cervical nerve root block (A group, n = 25) and cervical nerve root PRF (B group, n = 25). At each observation time, the general characteristics, visual analog scale (VAS), quality of life scores assessment (SF-36), the total efficacy rate, dosage of antiepileptic and narcotic analgesics, and the incidence of complications were followed up. RESULTS: Compared with the preoperative, the postoperative VAS decreased, the physical component summary (PCS) and the mental component summary (MCS) increased in both groups (P < 0.05). The differences between group B and group A were statistically significant after 1 month, which could be maintained for 1 year (P < 0.05). The total efficacy rate of group A and group B was 52.0% and 80.0% at 1 Year, respectively. The total efficacy rate of group B was higher than that of group A (P < 0.05). The dosage of antiepileptic and narcotic analgesics in group B decreased significantly, and the decline was significant compared with group A (P < 0.05). The incidence of complications between the two groups were similar (P > 0.05). CONCLUSION: CT-guided PRF to cervical nerve root for the treatment of PHN in the upper extremity is safe and effective. PRF can replicate the location of pain, precise positioning, reduce trauma, and increased pain relief rate. Frontiers Media S.A. 2020-04-21 /pmc/articles/PMC7186594/ /pubmed/32372914 http://dx.doi.org/10.3389/fnins.2020.00377 Text en Copyright © 2020 Ding, Li, Hong and Yao. http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Neuroscience
Ding, Yuanyuan
Li, Hongxi
Hong, Tao
Yao, Peng
Efficacy of Pulsed Radiofrequency to Cervical Nerve Root for Postherpetic Neuralgia in Upper Extremity
title Efficacy of Pulsed Radiofrequency to Cervical Nerve Root for Postherpetic Neuralgia in Upper Extremity
title_full Efficacy of Pulsed Radiofrequency to Cervical Nerve Root for Postherpetic Neuralgia in Upper Extremity
title_fullStr Efficacy of Pulsed Radiofrequency to Cervical Nerve Root for Postherpetic Neuralgia in Upper Extremity
title_full_unstemmed Efficacy of Pulsed Radiofrequency to Cervical Nerve Root for Postherpetic Neuralgia in Upper Extremity
title_short Efficacy of Pulsed Radiofrequency to Cervical Nerve Root for Postherpetic Neuralgia in Upper Extremity
title_sort efficacy of pulsed radiofrequency to cervical nerve root for postherpetic neuralgia in upper extremity
topic Neuroscience
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7186594/
https://www.ncbi.nlm.nih.gov/pubmed/32372914
http://dx.doi.org/10.3389/fnins.2020.00377
work_keys_str_mv AT dingyuanyuan efficacyofpulsedradiofrequencytocervicalnerverootforpostherpeticneuralgiainupperextremity
AT lihongxi efficacyofpulsedradiofrequencytocervicalnerverootforpostherpeticneuralgiainupperextremity
AT hongtao efficacyofpulsedradiofrequencytocervicalnerverootforpostherpeticneuralgiainupperextremity
AT yaopeng efficacyofpulsedradiofrequencytocervicalnerverootforpostherpeticneuralgiainupperextremity