Faculty Collaboration Database

A clinical study of paraspinal nerve block on treatment of herpes zoster under ultrasonic guidance. Neurochirurgie 2019 Dec;65(6):382-386

Date

07/28/2019

Pubmed ID

31348920

DOI

10.1016/j.neuchi.2019.06.007

Scopus ID

2-s2.0-85070022685 (requires institutional sign-in at Scopus site)   8 Citations

Abstract

OBJECTIVE: To study the ultrasound guiding by methylenum coeruleum thoracic paravertebral block analgesia effect and promote healing of herpes zoster.

METHODS: A total of 87 patients with herpes zoster were randomly divided into an observation group and a control group, and the two groups received the same treatment including antiviral drug, nerve nutrition, in order to increase the body's resistance. The observation group were given thoracic paravertebral block with methylenum coeruleum guided by ultrasound, recorded visual analogue scale (VAS) of the two groups of patients for their hypersensitivity to pain 1d, 3d, 1 week, 2 weeks, 1 month after treatment, skin lesion healing time, incidence of postherpetic neuralgia (PHN), patients' satisfaction, etc. RESULTS: After administration of thoracic paravertebral block with methylenum coeruleum, VAS of the observation group expectedly decreased. At the same time, the VAS in the observation group was significantly lower than that in the control group, the skin healing time in the observation group was obviously shorter, and the incidence of PHN was lower than that in the control group. The satisfaction of observation group patients was higher than that in the control group (P<0.05).

CONCLUSION: To implement thoracic paravertebral block with methylenum coeruleum guided by ultrasound can help reduce the degree of hypersensitivity to pain, promoting the healing of herpes zoster could reduce the incidence of PHN, greatly improving patients' satisfaction.

Author List

Zhao P, Mei L

Author

Ling Mei MD Associate Professor in the Medicine department at Medical College of Wisconsin

MESH terms used to index this publication - Major topics in bold

Aged
Analgesia
Antiviral Agents
Female
Herpes Zoster
Humans
Male
Middle Aged
Nerve Block
Neuralgia, Postherpetic
Pain Management
Pain Measurement
Paraspinal Muscles
Ultrasonography, Interventional