头面部带状疱疹神经痛的治疗进展

Progress of the management of herpes zoster-related neuropathic pain in head and face

头面部带状疱疹主要累及三叉神经、颈脊神经、面神经,包括眼带状疱疹和耳带状疱疹两种特殊临床类型,其疼痛剧烈,且易发展成带状疱疹后神经痛。一旦发展为带状疱疹后神经痛,疼痛程度往往较其他部位更加显著。由于位置特殊,使得连续性神经阻滞和脊髓电刺激术等治疗措施难以实施,因此其治疗更加困难。本文拟结合国内外专家共识和临床文献,综述头面部带状疱疹相关性疼痛的治疗进展。

Herpes zoster on the head and face mainly affects trigeminal nerve,cervical spinal nerve,facial nerve,including two special types in the eye and ear,often accompanies with severe pain and easily develops into postherpetic neuralgia.Once it develops into postherpetic neuralgia,the pain level is often more severe than other parts.Due to its special location,it is difficult to treat with continuous nerve block and spinal cord stimulation,its treatment is more difficult.This paper reviews the treatment of herpes zoster on head and face with domestic and foreign expert consensus and clinical research.