微血管减压术在三叉神经痛患者中的应用及预后分析

目的:分析微血管减压术在三叉神经痛患者中的应用及预后效果。方法:选取2015年8月至2016年7月我院收治的86例三叉神经痛患者,根据患者入院顺序分为观察组43例和对照组43例。对照组予以三叉神经节射频热凝治疗,观察组使用微血管减压术完成治疗。比较两组患者临床疗效,疼痛情况、睡眠情况,生存质量。结果:治疗后,观察组临床总有效率显著高于对照组93.02%(40/43)比72.09%(31/43)](P0.05)。观察组的视觉模拟评分(VAS)、匹茨堡睡眠质量指数量表评分(PSQI)显著低于对照组(3.35±0.31)分、(7.02±0.81)分比(5.68±0.57)分、(8.45±0.92)分](P0.05)。观察组的生存质量评分显著高于对照组(83.43±8.22)分比(68.98±6.51)分](P0.05)。结论:在三叉神经痛患者中经微血管减压术治疗,能降低患者疼痛程度,提高睡眠质量和生存质量,有利于患者预后的改善。

Analysis Application and Prognostic of Microvascular Decompression in Patients with Trigeminal Neuralgia

ABSTRACT Objective: To analyze the application and prognosis of microvascular decompression in patients with trigeminal neu- ralgia. Methods: From August 2015 to July 2016, 86 patients with trigeminal neuralgia were selected in our hospital, those patients were divided into observation group (43 cases) and control group (43 cases) according to the order of admission. The control group was given radiofrequency thermocoagulation treatment of trigeminal ganglion, the observation group using microvascular decompression to com- plete the treatment. Comparison of two groups of patients with clinical efficacy, surgical conditions, complications and recurrence. Results: After treatment, the total effective rate of the observation group was significantly higher than that of the control group 93.02% (40/43) vs 72.09% (31/43)] (P<0.05). Visual analog scale (VAS) and Pittsburgh Sleep Quality Index Scale (PSQI) in the observation group were sig- nificantly lower than those in the control group (3.35±0.31) points, (7.02±0.81) points vs (5.68±0.57) points(8.45±0.92) points] (P<0.05). The quality of life score of the observation group was significantly higher than that of the control group (83.43±8.22) points vs (68.98±6.51)points](P<0.05). Conclusion: Treatment of patients with trigeminal neuralgia by microvascular decompression can re- duce the degree of pain in patients, and improve the quality of sleep and quality of life is conducive to improving the prognosis of pa- tients.