摘要
目的观察药物联合神经阻滞治疗带状疱疹后神经痛的临床疗效。方法带状疱疹后神经痛患者37例,根据受损部位不同给予相应的神经阻滞,并联合药物进行综合治疗。于治疗后的第1、2、3、4周进行视觉模拟(VAS)和睡眠质量(QS)评分。结果治疗后1、2、3和4周VAS评分分别为(4.68±1.69)分、(3.13±0.53)分、(2.06±0.41)分和(1.10±0.58)分,均明显低于治疗前的(7.92±1.32)分(P<0.05);治疗后1、2、3和4周的QS评分分别为(1.50±0.52)分、(0.89±0.45)分、(0.74±0.37)分和(0.55±0.24)分,均明显低于治疗前的(3.15±0.68)分(P<0.05)。结论药物联合神经阻滞治疗带状疱疹后神经痛疗效好,能迅速解除疼痛,缓解临床症状。
Objective To investigate the curative effects of nerve block combined with medication on the postherpetic neuralgia（PHN）. Methods A total of 37 patients with PHN after herpes zoster was treated by medication combined with PHN-related nerve blockade. The efficacy of treatment was evaluated with VAS and quiet sleep（QS） scores on the Ist, 2nd, 3rd and 4th week during treatment. Results The VAS scores on the 1st ,2nd , 3rd and 4th week during treatment were （4. 68± 1.69） points, （3.13±0. 53） points, （2.06±0. 41） points and （1. 10±0. 58） points,respectively,which were significantly lower than （7.92 ± 1.32） points before therapy（P〈0. 05）. The QS scores on the 1st ,2nd ,3rd and 4th week during treatment were （1.50±0. 52） points, （0. 89±0.45） points, （0. 74± 0.37） points and （0.55 ± 0.24） points, respectively, which were significantly lower than （3.15 ±0. 68） points before therapy（P〈0. 05）. Conclusion Nerve block combined with medication is effective in alleviating PHN rapidly and attenuating clinical symptoms in the patients after acute herpes zoster.
出处
《江苏医药》
CAS
CSCD
北大核心
2012年第14期1693-1694,共2页
Jiangsu Medical Journal
