目的探讨加巴喷丁对带状疱疹后遗神经痛的疗效。方法带状疱疹后遗神经痛患者46例,随机分为两组:A组24例,在常规治疗基础上加用加巴喷丁;B组22例,常规治疗加用卡马西平治疗。采用视觉模拟评分(VAS)进行疼痛评估,评价两组疗效。结果 A组临床治疗有效率为87.50%,明显高于B组的68.18%(P<0.05)。结论加巴喷丁治疗带状疱疹后遗神经痛疗效优于卡马西平,且疗效持久,副作用少而轻微。 Objective To investigate the curative effect of gabapentin on postherpetic neuralgia. Methods 46 cases of postherpetic neuralgia patients were randomly divided into two groups: A group of 24 patients on the basis of conventional therapy plus gabapentin; B group of 22 patients, conventional therapy plus carbamazepine treatment. Visual analogue scale (VAS) was used to assess pain and evaluate the efficacy of both groups. Results The effective rate of clinical treatment in group A was 87.50%, significantly higher than 68.18% in group B (P <0.05). Conclusion Gabapentin in the treatment of postherpetic neuralgia is superior to carbamazepine in efficacy and long-lasting effects with few and minor side effects.