Clinical observation on thoracic paravertebral nerve block with ozone treatment in patients with postherpetic neuralgia

<strong>Objective</strong> To analyze the clinical efficacy of thoracic paravertebral nerve block with ozone in the treatment of postherpetic neuralgia. <strong>Methods</strong> Eighty-five patients suffered postherpetic neuralgia were divided into 4 groups: Group A (oral dru...

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Bibliographic Details
Main Authors: Xiang-fei GUO, Ya-guang LIU, Yan-song HUO, Xian-hong WU, Jun MA
Format: Article
Language:English
Published: Tianjin Huanhu Hospital 2013-10-01
Series:Chinese Journal of Contemporary Neurology and Neurosurgery
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Online Access:http://www.cjcnn.org/index.php/cjcnn/article/view/824
Description
Summary:<strong>Objective</strong> To analyze the clinical efficacy of thoracic paravertebral nerve block with ozone in the treatment of postherpetic neuralgia. <strong>Methods</strong> Eighty-five patients suffered postherpetic neuralgia were divided into 4 groups: Group A (oral drugs + intramuscular injection of vitamin B12 + local nerve block of lesion area), Group B (oral drugs + intramuscular injection of compound trivitamin B + local nerve block of lesion area), Group C (oral drugs + intramuscular injection of compound trivitamin B + thoracic paravertebral nerve block + local nerve block of lesion area), Group D (oral drugs + intramuscular injection of compound trivitamin B + thoracic paravertebral nerve block with ozone + local nerve block of lesion area). Treatment outcomes were evaluated by Visual Analogue Scale (VAS), Quality of Sleep (QS), Self-Rating Depression Scale (SDS) and C-reactive protein (CRP) before treatment and 4 weeks after treatment. <strong>Results </strong>After treatment, VAS, QS and SDS scores of 4 groups were lower than that before treatment, and the differences were statistically significant (P &lt; 0.05, for all). There were no significant changes in the level of CRP of group A, B, C before and after treatment (P &gt; 0.05, for all), while a significant change in CRP was observed in patients of group D between before and after treatment (P &lt; 0.05). The improvement of VAS, QS and SDS scores of group D was significantly better than other 3 groups (P &lt; 0.05, for all). <strong>Conclusion</strong> Thoracic paravertebral nerve block combined with ozone is a quick and effective method for postherpetic neuralgia patients.
ISSN:1672-6731