Nerve block in the early treatment of herpes zoster in the application of.doc

 PAGE \* MERGEFORMAT 9 Nerve block in the early treatment of herpes zoster in the application of Keywords: Herpes Zoster Patients with herpes zoster lesions disappeared in refractory neuropathic pain after left has seriously affected their mental and physical health. The hospital patients with herpes zoster, herpes zoster incidence in the early application of anti-viral therapy at the same time with the nerve block therapy, received a good curative effect. These are as follows. A clinical data 1.1 General Information From May 2005 to October 2007, the clinical diagnosis of herpes zoster 62 patients, male 33 cases, female 29, age 58 to 82 years. Rash occurring position: 18 cases of facial head and neck, upper limb in 13 cases, 22 cases of chest and abdomen, lower limbs in 9 cases. Depending on whether treatment with the nerve block were randomly divided into two groups: A group of 32 cases, skin rashes occurred within 48h with the nerve block were; B group of 30 patients treated with oral medication alone. Past two groups had no symptoms of diabetes and neuropathy, non-nerve block contraindication. Two groups of patients with sex, age, location and treatment rash occurs treatment time, after statistical treatment, no statistically significant difference (Pgt; 0.05). 1.2 Methods After treatment the two groups are used in patients with oral acyclovir, B vitamins, and analgesic treatment. Two groups of patients with dose and use the same way. A group of patients with nerve block herpes treatment site occurred. With 2% lidocaine 3ml, vitamin B12 1mg, dexamethasone 5mg dubbed in 10ml of liquid nerve block, the next block 1 for 7 times. One use of stellate ganglion block in 9 cases, 7 cases of brachial plexus block, epidural block in 16 cases. 1.3 determine the efficacy of the standard 3 months after treatment to determine efficacy. After treatment the pain disappeared or pain VAS score in two minutes fol