| Objective:This study compared the therapeutic effects of peripheral nerve stimulation(PNS)and supraorbital nerve radiofrequency thermocoagulation(PRT)on postherpetic neuralgia(PHN),the first branch of trigeminal nerve,in order to guide clinical treatment.Methods:Retrospective analysis of patients with the first trigeminal nerve post herpetic neuralgia admitted to the Department of Pain,Shanxi Bethune Hospital from January2018 to January 2021,including 30 patients in the PRT group and 30 patients in the PNS group meeting the inclusion criteria.Numerical Rating Scale(NRS)and Pittsburgh Sleep Quality Index(PSQI)were used to evaluate the efficacy of the two treatments,and the safety of the two treatments was descriptively analyzed.Results:There was no significant difference in NRS score and PSQI score between PNS group and PRT group before surgery(P > 0.05),but PNS group was lower than PRT group 1 day,1 week,1 month,3 months and 6 months after surgery,with statistically significant difference(P < 0.05).NRS scores and PSQI scores of the two groups at each time point after surgery were significantly lower than those before surgery,with statistical significance(P < 0.05).Correlation analysis showed that age,course of disease and therapeutic effect were negatively correlated.There were no serious complications with either treatment.Conclusions:1.Peripheral nerve electrical stimulation and radiofrequency thermocoagulation of supraorbital nerve are effective and safe in the treatment of postherpetic neuralgia of the first branch of trigeminal nerve;2.The therapeutic effect of peripheral nerve electrical stimulation is better than that of supraorbital nerve radiofrequency thermocoagulation;3.The older the age and the longer the course of disease,the more difficult it is to treat trigeminal postherpetic neuralgia;4.In the face of patients with great difficulty in treatment,peripheral nerve electrical stimulation can be preferred. |
PDF Full Text Request