神经阻滞联合毫米波治疗头面部急性重度带状疱疹性疼痛

目的观察神经阻滞联合毫米波综合治疗对头面部急性重度带状疱疹疼痛的效果。方法头面部急性带状疱疹伴重度疼痛患者42例，随机分为联合组(类固醇激素神经阻滞与毫米波合用)和对照组(单纯类固醇激素神经阻滞)，每组21例。同时，两组均常规药物治疗。记录治疗前及治疗后1、3、7、14和30 d疼痛数字评分(NRS)、止疱和结痂时间。结果治疗后两组NRS均明显下降(P<0.01)，但组间相比无显著性差异(P>0.05)。联合组止疱时间、结痂时间较对照组明显缩短(P<0.01)。结论神经阻滞可迅速控制急性重度头面部带状疱疹疼痛，联合毫米波治疗可缩短病程。

Effects of Nerve Blockade Combined with Millimeter Wave on Head Acute Herpes Zoster Following Serious Pain

ObjectiveTo observe the therapeutic effects of nerve blockade combined with millimeter wave on patients with head acute herpes zoster (HZ) following serious pain.MethodsForty-two patients with head acute HZ following serious pain were randomly assigned to two groups: the combined group which treated with nerve blockade combined with millimeter wave, and the control group which received only nerve blockade. The pain degree (Numeric Rating Scales, NRS), blisters and scabbing were evaluated after treatment.ResultsNRS significantly decreased in both groups after treatment. The blister was earlier to disappear and scabbing was better in the combined group than in the control group (P<0.01).ConclusionNerve blockade combined with millimeter wave can effectively relieve the pain and shorten course of head acute HZ following serious pain.