超激光治疗仪联合持续硬膜外镇痛治疗带状疱疹的疗效及护理观察.docVIP

超激光治疗仪联合持续硬膜外镇痛治疗带状疱疹的疗效及护理观察 【摘要】 目的 探讨超激光治疗仪联合持续硬膜外镇痛方法治疗带状疱疹的疗效，并对其护理过程及效果进行观察。方法 选取我院疼痛科门诊2007年12月至2008年10月收治的42例带状疱疹患者为研究对象，对其分为超激光治疗仪联合持续硬膜外镇痛组(观察组)21例和单纯硬膜外镇痛组(对照组)21例，分别采取超激光治疗仪联合持续硬膜外镇痛和单纯硬膜外镇痛的方法治疗带状疱疹及其后遗神经痛，并对其治疗前后的护理效果进行观察比较。结果 观察组在治疗带状疱疹后遗神经痛方面的效果优于对照组，Plt;0.01,效果确切。结论 超激光治疗仪联合持续硬膜外镇痛的方法优于传统的单纯硬膜外镇痛治疗带状疱疹的方法，值得临床推广应用。 【关键词】 超激光治疗仪;硬膜外镇痛;带状疱疹 　　Abstract Objective To observe the curative effects of the use of an ultralaser therapeutical instrument in the treatment of herpes zoster in combination with continuous epidural analgesia and the effects of nusing.Methods Fortytwo patients with herpes zoster admitted to our hospital between December 2007 and October 2008 were equally divided into 2 groups,1 observation group and 1 control group.Herpes zoster and its residual neuralgia were treated with an ultralaser therapeutical instrument in combination with continuous epidural analgesia and by simple epidural analgesia,respectively.And the effects of nursing before and after the treatment were observed and compared.Results The effects of treating herpes zoster and its residual neuralgia in the observation group were superior to those in the control group(Plt;0.01).Conclusions The method of using an ultralaser therapeutical instrument in the treatment of herpes zoster and its residual neuralgia in combination with continuous epidural analgesia is superior to that of traditional simple epidural analgesia and worth clinical application and dissemination. 　　KEYWORDS ultralaser therapeutical instrument epidural analgesia herpes zoster 　　超激光治疗仪是近年来发展起来的一种疼痛物理治疗设备，其在镇痛方面的效果逐渐得到广大医务工作者和患者的青睐。带状疱疹(Herpes Zoster)是由水痘带状疱疹病毒引起的急性炎症性皮肤病[1]，中医称为”缠腰火龙”“缠腰火丹”，俗称”蜘蛛疮”。其主要特点为簇集水泡，沿一侧周围神经作群集带状分布，伴有明显神经痛。初次感染表现为水痘，以后病毒可长期潜伏在脊髓后根神经节，免疫功能减弱可诱发水痘带状疱疹病毒再度活动、生长繁殖，沿周围神经波及皮肤侵袭。发病期间，患者会出现多种不适症状，神经疼痛最明显，使人寝食难安，无特效疗法。如治疗不当或体质虚弱诸多因素所致，会转为“带状疱疹后遗神经痛”[2]，少则年余，多则数年，患者将长期忍受痛苦折磨。以往常采用硬膜外镇痛方法治疗带状疱疹后遗神经痛，效果较好。我们选取我院疼痛科门诊带状疱疹患者为研究对象，对其分为超激光治疗仪联合持续硬膜外镇痛组(观察组)21例和单纯硬膜外镇痛组(对照组)21例，分别采取超激