| 张嘉莹,王志强,杨秀春,姜浩然,张玉保.微血管减压术联合感觉根部分切断术对原发性三叉神经痛患者疼痛评分、生活质量及睡眠状况的影响[J].,2021,(2):329-332 |
| 微血管减压术联合感觉根部分切断术对原发性三叉神经痛患者疼痛评分、生活质量及睡眠状况的影响 |
| The Effect of Microvascular Decompression Combined with Partial Sensory Rhizotomy on Pain Score, Quality of Life and Sleep Status in Patients with Primary Trigeminal Neuralgia |
| 投稿时间：2020-03-21 修订日期：2020-04-15 |
| DOI：10.13241/j.cnki.pmb.2021.02.028 |
| 中文关键词: 微血管减压术 感觉根部分切断术 原发性三叉神经痛 疼痛评分 生活质量 睡眠状况 |
| 英文关键词: Microvascular decompression Partial sensory rhizotomy Primary trigeminal neuralgia Pain score Quality of life Sleep status |
| 基金项目:北京市自然科学基金项目（6162257） |
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| 中文摘要: |
| 摘要 目的：探讨微血管减压术（MVD）联合感觉根部分切断术（PSR）对原发性三叉神经痛（TN）患者疼痛评分、生活质量及睡眠状况的影响。方法：回顾性分析2015年2月~2019年3月期间我院收治的80例原发性TN患者的临床资料，根据手术方式的不同将患者分为对照组（n=40，MVD治疗）和研究组（n=40，MVD联合PSR治疗），比较两组患者疼痛评分、生活质量、围术期指标、睡眠状况、并发症发生情况以及复发率。结果：两组患者治疗后视觉疼痛模拟量表（VAS）评分均较治疗前下降，且研究组低于对照组（P<0.05）。两组患者治疗后生活质量量表 (SF-36)各维度评分均较治疗前升高，且研究组高于对照组（P<0.05）。两组患者治疗后匹兹堡睡眠质量指数表（PSQI）各项目评分均较治疗前升高，且研究组高于对照组（P<0.05）。研究组住院时间短于对照组，手术时间长于对照组（P<0.05）；两组术中出血量比较无统计学差异（P>0.05）。研究组的并发症总发生率低于对照组（P<0.05）。两组随访期间复发率比较差异无统计学意义（P>0.05）。结论：MVD联合PSR治疗原发性TN，虽然手术时间较长，但是在减轻患者疼痛、改善患者生活质量及睡眠状况等方面效果显著，能够降低并发症发生率。 |
| 英文摘要: |
| ABSTRACT Objective: To investigate the effect of microvascular decompression (MVD) combined with partial sensory rhizotomy (PSR) on pain score, quality of life and sleep status in patients with primary trigeminal neuralgia (TN). Methods: The clinical data of 80 patients with primary TN who were admitted to our hospital from February 2015 to March 2019 were analyzed retrospectively. According to the different operation methods, the patients were divided into control group (n=40, MVD treatment) and study group (n=40, MVD combined with PSR treatment). The pain score, quality of life, perioperative indicators, sleep status, complications and recurrence rate of the two groups were compared. Results: The visual pain simulation scale (VAS) scores of the two groups after treatment were lower than before treatment, and those of the study group were lower than those of the control group (P<0.05). The scores of short form-36 (SF-36) of the two groups after treatment were higher than those before treatment, and the scores of the study group were higher than those of the control group (P<0.05). The scores of all items in Pittsburgh sleep quality index (PSQI) of the two groups after treatment were higher than those before treatment, and the scores of the study group were higher than those of the control group (P<0.05). The hospitalization time of the study group was shorter than that of the control group, and the operation time was longer than that of the control group (P<0.05). There was no significant difference in intraoperative blood loss between the two groups (P>0.05). The total incidence of complications of the study group was lower than that of the control group (P<0.05). There was no significant difference in recurrence rate between the two groups during follow-up (P>0.05). Conclusion: MVD combined with PSR in the treatment of primary TN, although the operation time is longer, it has a significant effect in alleviating patients' pain, improving patients' quality of life and sleep status, and reducing the incidence of complications. |
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