老年患者急性期带状疮疹神经痛64例治疗分析

Analysis of acute period of elderly patients with herpes zoster neuralgia 64 cases

目的观察自控持续外周神经阻滞治疗急性期带状疮疹神经痛的临床效果。方法 64例患者随机分为自控持续外周神经阻滞组和间断外周神经阻滞组,分别观察治疗后1d、7d、4周、12周患者的VAS评分情况和疗效评分法判断效果。结果 A组:1d、7d、4周、12周的VAS评分与B组相比,P﹤0.05;A组的疗效指数与B组相比,P﹤0.05,差异显著。结论采用自控持续外周神经阻滞治疗急性期带状疮疹神经痛,可明显降低带状疱疹后神经痛(PHN)的发生,提高了生活质量,副作用少,是治疗这类患者较好的方法。

Objective To observe the clinical effect of self-control continuous peripheral nerve block in the treatment of acute her- pes zoster neuralgia. Methods 64 patients were randomly divided into control continuous peripheral nerve block group and contin- uous peripheral nerve block group, were observed after treatment, 1 days, 7 days, VAS scores and curative effect in 4 weeks, 12 weeks in patients with scoring method to determine effect. Results in A group： compared with VAS score and B group was 1 days, 7 days, 4 week, 12 weeks, P〈0.05; A group of therapeutic index compared with B group, P〈0.05, significant difference. Conclu- sion Using automatic continuous peripheral nerve block in the treatment of acute herpes zoster neuralgia, can significantly reduce postherpetic neuralgia （PHN） occurs, improve life quality, less side effects, is a good method for treatment of these patients.