Efficacy of Long-Term Spinal Nerve Posterior Ramus Pulsed Radiofrequency in Treating Subacute Herpetic Neuralgia: A Prospective Randomized Controlled Trial
Objective: This study aimed to observe the clinical efficacy of long-term spinal nerve posterior ramus pulsed radiofrequency (PRF) in treating subacute herpes zoster neuralgia (HZN). Methods: A total of 120 patients with subacute HZN in the thoracolumbar region and back were equally randomized to th...
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| Format: | Article |
| Language: | English |
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IMR Press
2023-02-01
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| Series: | Journal of Integrative Neuroscience |
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| Online Access: | https://www.imrpress.com/journal/JIN/22/2/10.31083/j.jin2202047 |
| _version_ | 1827976673003307008 |
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| author | Qing Sun Jie Yuan Junlong Yang Jinfeng Zou |
| author_facet | Qing Sun Jie Yuan Junlong Yang Jinfeng Zou |
| author_sort | Qing Sun |
| collection | DOAJ |
| description | Objective: This study aimed to observe the clinical efficacy of long-term spinal nerve posterior ramus pulsed radiofrequency (PRF) in treating subacute herpes zoster neuralgia (HZN). Methods: A total of 120 patients with subacute HZN in the thoracolumbar region and back were equally randomized to the conventional PRF group (P group, n = 60), with a pulse of 180 s, or to the long-term PRF group (LP group, n = 60), with a pulse of 600 s. The patients’ baseline characteristics, the incidence rate of postherpetic neuralgia (PHN), and the dose of analgesics were compared between the two groups. Results: Based on the pain-rating index (PRI), the PRI-sensory, PRI-affective, visual analogue scale, and present pain intensity scores in the two groups were lower at T2, T3, and T4 time points than at the T1 time point after treatment (p < 0.05). After 2 months, the dose of analgesics was significantly lower in the LP group than in the P group (p < 0.05), and the incidence of PHN was considerably lower. Conclusions: Long-term spinal nerve posterior ramus PRF is a more effective treatment strategy for subacute HZN than conventional PRF. It can effectively prevent the occurrence of PHN. |
| first_indexed | 2024-04-09T20:39:14Z |
| format | Article |
| id | doaj.art-909f84402af74bf293cf21496a4564b8 |
| institution | Directory Open Access Journal |
| issn | 0219-6352 |
| language | English |
| last_indexed | 2024-04-09T20:39:14Z |
| publishDate | 2023-02-01 |
| publisher | IMR Press |
| record_format | Article |
| series | Journal of Integrative Neuroscience |
| spelling | doaj.art-909f84402af74bf293cf21496a4564b82023-03-30T05:58:08ZengIMR PressJournal of Integrative Neuroscience0219-63522023-02-012224710.31083/j.jin2202047S0219-6352(22)00484-3Efficacy of Long-Term Spinal Nerve Posterior Ramus Pulsed Radiofrequency in Treating Subacute Herpetic Neuralgia: A Prospective Randomized Controlled TrialQing Sun0Jie Yuan1Junlong Yang2Jinfeng Zou3Department of Pain, Guizhou Provincial People's Hospital, 550002 Guiyang, Guizhou, ChinaDepartment of Anesthesiology, Affiliated Hospital of Zunyi Medical University, 563000 Zunyi, Guizhou, ChinaDepartment of Pain, The Affiliated Hospital of Guizhou Medical University, 550004 Guiyang, Guizhou, ChinaDepartment of Pain, Guizhou Provincial People's Hospital, 550002 Guiyang, Guizhou, ChinaObjective: This study aimed to observe the clinical efficacy of long-term spinal nerve posterior ramus pulsed radiofrequency (PRF) in treating subacute herpes zoster neuralgia (HZN). Methods: A total of 120 patients with subacute HZN in the thoracolumbar region and back were equally randomized to the conventional PRF group (P group, n = 60), with a pulse of 180 s, or to the long-term PRF group (LP group, n = 60), with a pulse of 600 s. The patients’ baseline characteristics, the incidence rate of postherpetic neuralgia (PHN), and the dose of analgesics were compared between the two groups. Results: Based on the pain-rating index (PRI), the PRI-sensory, PRI-affective, visual analogue scale, and present pain intensity scores in the two groups were lower at T2, T3, and T4 time points than at the T1 time point after treatment (p < 0.05). After 2 months, the dose of analgesics was significantly lower in the LP group than in the P group (p < 0.05), and the incidence of PHN was considerably lower. Conclusions: Long-term spinal nerve posterior ramus PRF is a more effective treatment strategy for subacute HZN than conventional PRF. It can effectively prevent the occurrence of PHN.https://www.imrpress.com/journal/JIN/22/2/10.31083/j.jin2202047long-term pulsed radiofrequencypostherpetic neuralgiapulsed radiofrequencysubacute herpes zoster neuralgia |
| spellingShingle | Qing Sun Jie Yuan Junlong Yang Jinfeng Zou Efficacy of Long-Term Spinal Nerve Posterior Ramus Pulsed Radiofrequency in Treating Subacute Herpetic Neuralgia: A Prospective Randomized Controlled Trial Journal of Integrative Neuroscience long-term pulsed radiofrequency postherpetic neuralgia pulsed radiofrequency subacute herpes zoster neuralgia |
| title | Efficacy of Long-Term Spinal Nerve Posterior Ramus Pulsed Radiofrequency in Treating Subacute Herpetic Neuralgia: A Prospective Randomized Controlled Trial |
| title_full | Efficacy of Long-Term Spinal Nerve Posterior Ramus Pulsed Radiofrequency in Treating Subacute Herpetic Neuralgia: A Prospective Randomized Controlled Trial |
| title_fullStr | Efficacy of Long-Term Spinal Nerve Posterior Ramus Pulsed Radiofrequency in Treating Subacute Herpetic Neuralgia: A Prospective Randomized Controlled Trial |
| title_full_unstemmed | Efficacy of Long-Term Spinal Nerve Posterior Ramus Pulsed Radiofrequency in Treating Subacute Herpetic Neuralgia: A Prospective Randomized Controlled Trial |
| title_short | Efficacy of Long-Term Spinal Nerve Posterior Ramus Pulsed Radiofrequency in Treating Subacute Herpetic Neuralgia: A Prospective Randomized Controlled Trial |
| title_sort | efficacy of long term spinal nerve posterior ramus pulsed radiofrequency in treating subacute herpetic neuralgia a prospective randomized controlled trial |
| topic | long-term pulsed radiofrequency postherpetic neuralgia pulsed radiofrequency subacute herpes zoster neuralgia |
| url | https://www.imrpress.com/journal/JIN/22/2/10.31083/j.jin2202047 |
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