静脉封闭联合窄谱中波紫外线治疗带状疱疹后遗神经痛的临床观察  

Clinical Observation of Combining Vein Block and Narrow Band Ultraviolet Therapy in Treating Postherpetic Neuralgia

作　　者：陈宏辉[1] 李伟权[1] 李伟玲[1] 谭开明[1] 

机构地区：[1]韶关市粤北人民医院皮肤科,广东韶关512026

出　　处：《中国医学文摘（皮肤科学）》2013年第2期71-73,共3页China Medical Abstracts(Dermatology)

基　　金：2011年广东省韶关市卫生局科研立项(WSTJJ20110831441824197809170012)

摘　　要：目的观察盐酸利多卡因静脉封闭联合窄谱中波紫外线治疗带状疱疹后遗神经痛的临床疗效和安全性。方法将180例带状疱疹后遗神经痛患者按随机开放对照的方法分为三组。治疗组60例,在常规药物治疗同时加用盐酸利多卡因静脉封闭及窄谱中波紫外线局部皮损照射;对照1组60例予常规药物治疗同时加用盐酸利多卡因静脉封闭,对照2组60例在常规药物治疗同时加用窄谱中波紫外线局部皮损照射,10d为一疗程,2疗程后采用目测类比评分法(VAS)观察三组的临床疗效。结果治疗组有效率为86.67%,对照1组为73.33%,对照2组为58.33%,治疗组与对照1组和对照2组的疗效差异有显著统计学意义(P<0.01)。结论盐酸利多卡因静脉封闭联合窄谱中波紫外线治疗带状疱疹后遗神经痛疗效显著,不良反应少,价廉,易操作,值得临床应用。Objective To investigate the clinical effects and security of lidocaine hydrochloride vein block and narrow band ultraviolet therapy in treating postherpetic neuralgia patients.Methods One hundred and eighty patients with postherpetic neuralgia were randomly divided into three teams.Treatment group with 60 patients was treated by conventional medical treatment adding lidocaine hydrochloride vein block and local skin irradiation by narrow band ultraviolet.Control group 1 with 60 patients was treated by conventional medical treatment adding lidocaine hydrochloride vein block while control group 2 with 60 patients was treated by conventional medical treatment combing local skin irradiation by narrow band ultraviolet.Ten days was one course of period.After two courses of period,the clinical effects of the three teams were observed in VAS method.Results The effective rate of treatment group was 86.67% while control group 1 was 73.33% and control group 2 was 58.33%.There was a significant difference between treatment group and the two control groups in the total effective rates (P<0.01).Conclusions The therapy of treating postherpetic neuralgia by lidocaine hydrochloride vein block and narrow band ultraviolet worth clinic promotion because of its effective treatment,less adverse reaction,difficult to recur,less expense and easy to operate.

关 键 词：静脉封闭 紫外线 带状疱疹后遗神经痛 

分 类 号：R752.12[医药卫生—皮肤病学与性病学]