脉冲射频治疗三叉神经痛时射频电压与疗效的关系罗芳().pdfVIP

- 1018 - 中国康复理论与实践2011 年11月第17卷第11期Chin J Rehabil Theory Pract, Nov. 2011, Vol. 17, No. 11 ·专题· 脉冲射频治疗三叉神经痛时射频电压与疗效的关系① 1a 1a 1b 罗芳 ，高淑琴 ，季楠 [摘要] 目的 探讨脉冲射频治疗三叉神经痛时射频电压与术后镇痛效果的关系。方法 选取脉冲射频治疗后效果欠佳的原发 三叉神经痛患者22 例(无效组)及同期随机选取脉冲射频效果满意的患者22 例(有效组) ，比较两组患者术中射频电压、局部电阻、 刺激电压等数据，并且比较两组术后并发症发生情况。结果 有效组射频电压明显高于无效组(P0.01) ，面部麻木患者明显多于无 效组(P0.01) 。结论 脉冲射频电压高的患者治疗效果更好。 [关键词] 三叉神经痛；脉冲射频；电压 Voltage of Pulsed Radiofrequency and Therapeutic Effect on Primary Trigeminal Neuralgia LUO Fang, GAO Shu-qin, JI Nan. De- partment of Anesthesiology and Pain, Beijing Tiantan Hospital, Capital Medical University, Beijing 100050, China Abstract: Objective To investigate the relationship between pulsed radiofrequency voltage and therapeutic effect on idiopathic trigemi- nal neuralgia. Methods 22 idiopathic trigeminal neuralgia patients treated with standard pulsed radiofrequency ineffectively and other 22 pa- tients with satisfactory effect were included. The pulsed radiofrequency voltage, electric resistance, stimulating voltage and postoperative complications were compared. Results Pulsed radiofrequency voltage in the effective group was more than that in ineffective group (P 0.01). More patients suffered from mild numbness in the pulsed radiofrequency effective group (P0.01). Conclusion The pulsed radiofre- quency voltage is an important factor affecting the therapeutic effect. Key words: trigeminal neuralgia; pulsed radiofrequency; voltage [中图分类号] R745.1 [文献标识码] A [文章编号] 1006-9771(2011) 11-1018-02 [本文著录格式] 罗芳，高淑琴，季楠.脉冲射频治疗三叉神经痛时射频电压与疗效的关系[J].中国康复理论与实践,2011,17(11): 1018—1019. 近年来，国外学者提出42 ℃、2 Hz 、120 s 脉冲 复发为疗效满意。分别统计无效组和有效组术中脉冲 射频(pulsed radiofrequency, PRF)可治疗神经病理性疼 射频电压、局部组织电阻、5