230例带状疱疹后遗神经痛临床分析

发布时间：2018-01-23 22:21

本文关键词： 带状疱疹后遗神经痛物理治疗　出处：《华中科技大学学报(医学版)》2015年02期 　论文类型：期刊论文

【摘要】：目的探讨带状疱疹后遗神经痛(PHN)人群的年龄构成,疼痛区域、疼痛级别、疼痛性质以及对PHN的治疗效果。方法通过5年来对武汉大学医院门诊PHN患者发放问卷调查方式进行研究,其中对118例PHN患者进行随机分组治疗。结果 PHN年龄构成主要在58~78岁年龄段(66.5%);PHN疼痛区域主要集中在胸背(61.3%)、腰腿(25.7%)区域;PHN疼痛程度主要为1级和2级(55.2%、33.5%);PHN疼痛性质主要是发麻灼热和皮肤异样感(35.7%和40.4%)。对PHN治疗方面,物理治疗优于药物治疗(χ2=5.08,P0.01)。结论 PHN患者主要为老年人,疼痛部位多位于胸腰部,疼痛级别较轻。治疗PHN最好以物理治疗为主,辅以药物治疗。
[Abstract]:Objective to investigate the age composition, pain area and pain grade of patients with postherpetic neuralgia (PHN). Methods A questionnaire survey was conducted on the outpatient PHN patients in Wuhan University Hospital during the past 5 years. Among them, 118 patients with PHN were randomly divided into groups. Results the age composition of PHN was mainly in the age group of 58 ~ 78 years old (66.5%). The pain area of PHN was mainly concentrated in the area of 61.3 in pectoralis dorsalis and 25.7in waist and leg. The pain degree of PHN was mainly grade 1 and grade 2. PHN pain was mainly caused by anaesthesia, searing and skin heterosis (35.7%) and 40.4% (40.4%). Physical therapy was superior to drug therapy in the treatment of PHN (蠂 ~ 2 = 5.08, 蠂 ~ 2 = 5.08). Conclusion the patients with PHN are mainly elderly, the pain is mostly located in the chest and waist, and the pain grade is mild. The best treatment for PHN is physiotherapy and drug therapy.
【作者单位】：武汉大学医院皮肤科;
【分类号】：R752.12
【正文快照】： !带状疱疹是由水痘-带状疱疹病毒(Varicella-zoster virus,VZV)引起急性疱疹性皮肤病,沿一侧周围神经呈带状分布,常伴有神经痛和局部淋巴结肿大[1]。带状疱疹后遗神经痛(postherpetic neu-ralgia,PHN)是指带状疱疹的皮损已完全愈合后疼痛持续1个月以上的慢性神经综合征[2]。近

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