Department of Anaesthesia and Intensive Care, Teaching Hospital Olomouc, Olomouc, Czech Republic.
Ir J Med Sci. 2010 Sep;179(3):369-73. doi: 10.1007/s11845-010-0490-6. Epub 2010 Jun 5.
Pulsed radiofrequency treatment (PRF) applied to the suprascapular nerve may provide pain relief for patients suffering from shoulder pain as described in three case series.
The effect of PRF to the suprascapular nerve was retrospectively analysed on 28 patients with shoulder pain lasting longer than 1 month, with a 6-month follow-up. Group A was treated with PRF and local anaesthetics only while group B was treated with PRF, local anaesthetic and steroid. Pain scores were evaluated before and after the procedure and at 1, 3 and 6 months.
More than 50% of patients in both groups had significant pain relief after 3 months. No major, but only one minor complication occurred.
Our results suggest that the analgesic effects of PRF last more than 3 months in the majority of patients. The addition of steroid to the PRF treatment appears to have no benefit.
脉冲射频治疗（PRF）应用于肩胛上神经可能为肩痛患者提供缓解，这在三个病例系列中有所描述。
对 28 例肩痛持续时间超过 1 个月的患者进行回顾性分析，随访时间为 6 个月。A 组仅接受 PRF 和局部麻醉治疗，B 组接受 PRF、局部麻醉和类固醇治疗。在治疗前、治疗后以及 1、3 和 6 个月时评估疼痛评分。
两组中超过 50%的患者在 3 个月后疼痛明显缓解。没有发生重大并发症，只有 1 例轻微并发症。
我们的结果表明，PRF 的镇痛效果在大多数患者中持续超过 3 个月。在 PRF 治疗中加入类固醇似乎没有益处。
