神经阻滞及局部浸润联合药物治疗带状疱疹后神经痛的疗效观察

目的观察神经阻滞及皮损区局部浸润联合药物治疗带状疱疹后神经痛的疗效。方法选择急性带状疱疹愈合后,疼痛时间持续超过3个月的患者57例,皮损部位分别在头面部、胸背部、上下肢及骶部。采用神经阻滞、皮损区局部浸润联合药物治疗,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1～4周VAS评分及QS评分较治疗前显著降低(P<0.01)。显效率87.7%,总有效率100%。结论以神经阻滞和皮损区局部浸润联合药物治疗带状疱疹后神经痛,能迅速缓解疼痛,改善睡眠质量且副作用少,是目前较为理想的方法 。

The curative effect of nerve block combined with local infiltration on the postherpetic neuralgia

objective To investigate the curative effect of nerve block combined with local infiltration on the postherpetic neuralgia.Methods 57 patients with aching time over 3 monthes after acute posterior ganglionitis had skin destruction at head,thorax,limbs or pars sacralis.The patients were treated with nerve block combined with local infiltration at the skin destruction and the curative effect was assessed with visual analogue score（VAS） and sleep quality score（QS）.Results At the 1th～4th weeks post-therapy,the scores of VAS and QS were decreased significantly compared with those of pre-therapy（P〈0.01）.Curative rate and total effective rate were 87.7% and 100% respectively in combining therapy.Conclusion The combining nerve block and local infiltration can release rapidly postherpetic neuralgia,improve sleep quality with few side effects.