带状疱疹后遗神经痛的综合治疗.pdf

172 实用疼痛李敖志 2010 年 6 月第 6 卷第 3 翻 P.un αin J. lune 2010. Vol. 6.Nα3 1::仓辛苦. 带状殖痊后遗神经痛的综合治疗 谷海谢志革方才 E摘要E 目的 观察神经阻糟及皮损区局部浸润联合药物综合治疗带状殖掺后遗神经痛的疗 效. 方法 选择急性带状殖穆愈合后，疼痛时间持续超过3 个月的患者盯例，皮损部位分别在头面 部、胸背部、上下肢及低部. 采用神经阻糖、皮损区局部漫润联合药物治疗，以视觉模拟评分(VAS) 和睡眠质量评分(QS)综合评定治疗效果. 结果 治疗后第 1- 周 VAS评分及 QS 评分较治疗前 显著降低阳0.00. 显效率87.7 %50/57 例) . 总有效率 100 %臼7/57 例L 结论 以神经阻滞和 皮损区局部浸润联合药物治疗带状宿费参后遗神经痛，能迅速缓解疼痛，改善睡眠质量且副作用少， 是目前被为理想的方法. E关键词E 神经痛，带状觅掺后z 综合疗法 Combination of nerve bl(比k ， Iocal infiltrati。而 and drog 11町rapy ((11 b咽tment of P倒也 ...τJeliC n四ralgia GUHω. xrEZhi -qicmg , Fang Cai. Departmentof Anes tfu!siology. Affi/iated Provincial Hosþi ral , Anhui Medical University.Hefei 230001 ,China [Abstract) Objective To investigate 由e curauve effect of oombinauon of nerve block , local infil衍ation and drug the r-dPY on the 归sthetpetic neur-,dgia. MetIJ叫S Fifty - seven patients with postherpetic neur-,dgia in the h t:dd. tho r-dx .limoo or pats 出口alis wete tteated with n t:rve block ,1 0{泪1 infiltraciotl at the skill d困苦.r nct!on an盟 and drug 由也rapy. The cnrauve effect was asse8sed with 叫，~l analogue scale(VAS) and sleep quality 5∞te(QS). Kesul lB Aftet 1-~ w t:t:ks. the VAS and QS wete d et-1e-d5W significantly ∞mpatt:d 回th those of p陀 therapy( PO. 01 )lInd cute tllte lInd total effective rate were 87. 7 % (50/57 cas时 and 100 %旧/盯 æ，时 respectively. Coaclusioø The com P巳hensive therapy of nerve block ,local infiltration and drug 由erapy are effective for postherpetic neut1l1gill. sleep qUlllity is improved lInd side effects is few, [~叮 wo呻J Neur-，dg饵， Posthetpetic; Combined Mα lIlity Ther-dPY 带状痞螃后遗神经痛 (postherpetic neuralgia , 域，选择相应受里的外周神经进行穿刺阻滞，头面 PHN) ，随着人口老龄化，其主病呈增加的趋 部多选用眶上神经、枕大神经、耳藏神经等;腰、 势【口 . 带状殖揍中约有 10%井盎 PHl啡，而 60 岁