文摘

这项前瞻性研究的疗效相比两个antinociceptive模式:神经块和认知疗法。一系列连续的病人接受神经阻滞治疗被邀请参加一个为期六周的神经块和认知疗法的随机比较。六十八102例接洽电话同意参与。参加八周治疗的患者。记录基线和每周七集的值。的主要测量结果的疼痛视觉模拟量表(血管)。二次措施是医院的焦虑和抑郁量表,和日常生活的活动以初级保健合作信息项目/世界组织的国家大学,学院(COOP-WONCA)规模。在第一周内,一个病人的神经阻滞组34撤回和12 34认知疗法组退出这项研究。7周后,33名患者神经阻滞组仍在试验,但只有21个病人完成了问卷调查。四个认知疗法组22名患者完成了试验和问卷调查。 Mean VAS scores in the nerve block group dropped slightly during treatment. Mean VAS scores in the cognitive therapy group rose during the trial. However, the mean VAS score of the remaining four in the last week was below the initial group mean. Patients who had been receiving nerve blocks proved willing to remain in the study if allocated to the nerve block group and unwilling to remain in the cognitive therapy group while foregoing their accustomed treatment.