摘要
目的:观察皮内注射、神经阻滞疗法治疗老年带状疱疹后神经痛的临床效果。方法:40例老年带状疱疹后神经痛患者,随机分为两组:Ⅰ组(皮内注射组,n=21)和Ⅱ组(神经阻滞组,n=19)。两组均采用0.16%布比卡因镇痛液(0.5%布比卡因5ml,弥可保500μg,0.9%生理盐水10ml)。Ⅰ组沿皮损或色素沉着区周围行皮内注射。Ⅱ组根据疼痛部位和色素残留区的神经分布选择神经阻滞方法。两组均隔日1次,治疗3次后根据患者疼痛改善情况每周治疗1～3次。结果:治疗后两组病人与治疗前比较,Ⅰ组VAS评分明显低于Ⅱ组,差异有统计学意义(P<0.05),Ⅰ组优良率明显高于Ⅱ组。结论:皮内注射治疗带状疱疹后神经痛疗效确切,是一种镇痛迅速、简便易行且安全的治疗方法。
Objective： To observe the clinical effect of intradermic injection and nerve block used for postherpetic neuralgia in aged Patients. Methods： Forty aged patients with postherpetic neuralgia were randomly divided into two groups： group Ⅰ （intradermic injection group, 21cases） and group Ⅱ （nerve block group,19 cases）. All patients were treated with analgesic mixture contained 0. 5% bupivacaine 5 ml, methycobal 500 μg and normal saline 10 ml. The patients were treated by intradermic injection in group Ⅰ along the damage of skin or area of pigmentation. In group Ⅱ , nerve block was done according to the pain area and the nerve distribution of pigmentation area. All patients accepted the intradermic injection or nerve block every other day. After three-time treatment later, all patients accepted the injection 1-3 times in one week according to the level of pain relief. Results： After treatment, the VAS of group Ⅰ was lower than that of group Ⅱ （P 〈0.05）. The efficiency was higher in group Ⅰ. Conclusion： Intradermic injection was one of the effective, salty methods for treatment of postherpetic neuralgia.
出处
《新疆医科大学学报》
CAS
2007年第9期1020-1021,共2页
Journal of Xinjiang Medical University
关键词
皮内注射
神经阻滞
老年人
带状疱疹后神经痛
intradermic injection
nerve block
aged patients
ostherpetic neuralgia
