摘要
目的观察布比卡因局部阻滞治疗带状疱疹的疗效,并与药物治疗相比较。方法选择带状疱疹患者60例,随机分成2组。治疗组30例,局部注射布比卡因镇痛复合液,头面部疱疹加用星状神经节阻滞治疗,臀部、双下肢疱疹加用骶管注药治疗;对照组为单纯药物抗病毒治疗。结果治疗组患者在3个疗程结束后,治愈18例(60.0%),有效11例(36.7%),无效1例(3.3%),治愈与有效者共29例(96.7%),在随访过程中有1例后遗神经痛。对照组治愈6例(20.0%),有效12例(40.0%),无效12例,后遗神经痛5例。结论布比卡因局部阻滞治疗带状疱疹能迅速减轻症状,疱疹结痂、疼痛减轻快,后遗神经痛少见。
Objective To observe the efficacy of local block with bupivacaine and to compare with drug therapy for herps zoster. Method Sixty patients suffered from herpes zoster were randomly divided into treatment group（ n = 30） and control group（ n = 30）. The patients in the former group were managed by local block with bupivacaine and stellate ganglion block or sacral canal block if the herpes was positioned on the face or on the lower limbs. The cases in the other group were managed by drugs only. Results The effective rate was 96.7% （29 cases） after 3 courses of treatment and only 1 patient developed postherpetic neuralgia in the treatment group. There was 60% （ 18 cases） effective rate and 5 cases had posthepertic neuralgia in the control group. Conclusion The efficacy of local block with bupivacaine is good and much better than that in control group for the treatment of herpes zoster.
出处
《实用疼痛学杂志》
2008年第2期107-109,共3页
Pain Clinic Journal
