| 带状疱疹的早期综合治疗 |
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| 引用本文： | 郑蓓洁,朱紫瑜,王祥瑞,许灿然.带状疱疹的早期综合治疗[J].中国疼痛医学杂志,2011,17(5). |
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| 作者姓名： | 郑蓓洁 朱紫瑜 王祥瑞 许灿然 |
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| 作者单位： | 上海交通大学医学院附属仁济医院麻醉科,上海,200127 |
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| 基金项目： | 上海交通大学医学院麻醉学重点学科基金 |
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| 摘 要： | 目的:通过对带状疱疹的早期诊断及早期综合治疗,观察其对急性期疼痛缓解及后遗痛预防的疗效.方法:36例带状疱疹急性期病例随机分成治疗组及对照组,治疗组采用抗病毒药物、曲马多、加巴喷丁、局部神经阻滞及超激光照射治疗.对照组采用抗病毒药物、布洛芬缓释胶囊、局部神经阻滞及超激光照射治疗.采用VAS评分及睡眠影响指数(SIS)对疼痛程度及患者生活质量进行评价.结果:治疗前,治疗组VAS及SIS平均为6.81±1.76及6.62±1.86,对照组VAS及SIS平均为6.57±1.45及6.43±1.75;治疗五周后,治疗组VAS及SIS平均为1.38±1.47及1.02±1.71,对照组VAS及SIS平均为2.27±0.92及2.00±0.65.治疗组后遗痛的发生率为4.8%,对照组为13.3%.结论:带状疱疹的早期诊断及综合治疗不仅可以减轻急性症状,还可减少带状疱疹后神经痛(PHN)的发生率.
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| 关 键 词： | 状疱疹 带状疱疹后神经痛 曲马多 加巴喷丁 |
EARLY COMPREHENSIVE TREATMENT ON HERPES ZOSTER |
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| ZHENG Bei-Jie,ZHU Zi-Yu,WANG Xiang-Rui,XU Can-Ran.EARLY COMPREHENSIVE TREATMENT ON HERPES ZOSTER[J].Chinese Journal of Pain Medicine,2011,17(5). |
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| Authors: | ZHENG Bei-Jie ZHU Zi-Yu WANG Xiang-Rui XU Can-Ran |
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| Institution: | ZHENG Bei-Jie,ZHU Zi-Yu,WANG Xiang-Rui,XU Can-Ran (Department of Anesthesiology,Ren Ji Hospital,Affiliated to Shanghai Jiao Tong University School of Medicine,Shanghai 200127) |
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| Abstract: | Objective: To evaluate the effects of the early diagnosis and comprehensive treatment on the pain score of acute phase of zoster and the incidence rate of postherpetic neuralgia.Methods:36 patients with Herpes Zoster were randomly divided into treatment group and control group.The treatment group was given comprehensive treatment with antiviral drug,tramadol,gabapentin,local nerve block and super laser irradiation,while the control group was only treated with antiviral drug,ibuprofen,local nerve block and s... |
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| Keywords: | Herpes Zoster Postherpetic neuralgia Tramadol Gabapentin |
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