神经阻滞联合普瑞巴林治疗带状疱疹后遗痛.pdf

1046 中国康复理论与实践2011年11月第17卷第11期ChinJRehabilTheory ·临床研究· △蓝 神经阻滞联 口日瑞巴林治疗带状疱疹后神经痛的研究 申颖，罗芳，王云珍 【摘要l 目的 滞或腰丛阻滞)。比较两组患者治疗前、治疗后3 两组患 评分(采用汉密尔顿抑郁量表的第4、5、6项)。比较两组患者疼痛缓解50％和30％的人数，以及副作用的发生率。结果 者治疗后1-8周VAS和睡眠评分均低于治疗前(P0．05)，B组患者在治疗后3 治疗带状疱疹后神经痛起效快、止痛作用强，无严重副作用发生。 【关键词】带状疱疹后神经痛；神经阻滞；普瑞巴林 EffectofNerveBlockCombinedwithOral on SHEN Neuralgia Fang,WANG PregabalinPostherpetic Ying，LUO ment Tiantan Medical 100050，China ofAnesthesiology,BeoingHospital,CapitalUniversity,Beijing To withnerveblockon 60 evaluatethe of combined Abstract：Objectiveefficacypregabalin postherpetic were into received receivednerve assigned A(n=30)，whopregabalinorally,andgroupB(n=30)，who patients group nerve wereassessedwithvisual scorefrom nerve，intercostalnerve，lumbarblock)in scale(VAS)of addition．They analogue pain，sleep HamiltonScalefor beforeand3 8weeksafter Rating Depression d，1week，2weeks，3weeks，4weeks，5weeks，6weeks，7weeks，and ThescoresofVASand reducedin treatment．Theincidenceof decreased50％and30％were pain compared．Results sleepsignificantly both 1-8weeksafter decreased 3daftertreatmentin Bthanin in- groups treatment(P0．01)，andsignificantly group group