Comparison of the efficacy of pulsed radiofrequency on acute herpes zoster neuralgia and postherpetic neuralgia
- VernacularTitle:脉冲射频治疗急性期带状疱疹性神经痛与带状疱疹后遗神经痛效果比较
- Author:
Huiyong NIE
1
;
Dandan ZHANG
2
;
Hui WANG
1
;
Huan WANG
1
;
Suoliang WANG
1
Author Information
- Publication Type:Journal Article
- Keywords: herpetic neuralgia; herpes zoster; pulsed radiofrequency; quality of life; insomnia
- From: Journal of Xi'an Jiaotong University(Medical Sciences) 2024;45(6):993-998
- CountryChina
- Language:Chinese
- Abstract: [Objective] To compare the clinical efficacy of pulsed radiofrequency (PRF) in patients with acute herpes zoster neuralgia (AHN) and postherpetic neuralgia (PHN). [Methods] A retrospective analysis was made on 287 patients with thoracic herpes zoster related pain. The patients were divided into acute herpes zoster neuralgia group (group AHN, within 3 months) and PHN group (group PHN, over 3 months) according to the onset time of herpes zoster. Pain degree (VAS), sleep quality (AIS), anxiety and depression (GAD-7 and PHQ-9) at 1 week, 1 month, 3 months, 6 months and 12 months after the procedure were analyzed and compared between the two groups. [Results] The scores of VAS, AIS, GAD-7 and PHQ-9 significantly decreased in both groups after surgery (P<0.001). The four scores decreased more in AHN group than in PHN group from 1 to 12 months after surgery (P<0.001). After 12 months of follow-up, there were fewer cases of taking oral pregabalin and opioids in the former group than in the latter group (P=0.001). [Conclusion] PRF has a good therapeutic effect on herpes zoster related pain and is better than PHN in relieving pain, improving sleep and anxiety and depression in AHN, or can prevent PHN.
