早期氦氖激光并红外线干预治疗对带状疱疹患者后遗神经痛的影响

Effect of early interventions with He-Ne laser and infrared radiation for preventing neuralgia following herpes zoster

目的探讨早期氦氖激光并红外线干预治疗对带状疱疹患者后遗神经痛的效果。方法66例带状疱疹伴严重神经痛患者分为治疗组和对照组，每组33例。治疗组在常规治疗的基础上早期加用氦氖激光并红外线治疗．对照组则待皮疹消退后才进行氦氖激光并红外线治疗，对两组的疗效进行比较。结果以视觉模拟评分法WAS）评价治疗效果，治疗组的疗效优于对照组，两组比较差异有统计学意义（U＝193．520，P=0．000）。治疗组优良率为90．9％，有效率为100．0％，无后遗神经痛发生；对照组优良率为63．6％，有效率为81．8％，后遗神经痛发生3例，发生率为9．1％。结论早期配合氦氖激光并红外线治疗带状疱疹，能较快地控制病情及缩短疗程．减少后遗神经痛发生。

Objective To investigate the effect of early interventions with helium-neon （He-Ne） laser and infrared physical therapy in the treatment of herpes zoster. Methods Sixty-six patients with herpes zoster and concurrent severe neuralgia were randomly divided into treatment and control groups （n=33）. The patients in the control group received routine treatment, and early He-Ne laser and infi＇ared treatment was administered in addition to the routine treatment in the treatment group. The visual analogue scale （VAS） was used to evaluate the therapeutic effects in the two groups. Results Early intervention with laser and infrared treatment produced significantly better therapeutic effects than the routine treatment （U=193.520,P=0.000）. In the treatment group, the rate of excellent or good therapeutic effects and the response rate was 90.9% and 100.0%, respectively, without occurrence ofpostherpetic neuralgia; in the control group, the rate of good therapeutic effects and the response rate was 63.6% and 81.8%, respectively, and postherpetic neuralgia occurred in 3 cases （9.1%） after the treatment. Conclusion Early intervention with He-Ne laser and infrared treatment in patients with herpes zoster helps achieve rapid control of the condition, shortens the treatment course, and reduces the occurrence of postherpetic neuralgia.