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目的:观察牛痘疫苗接种家兔炎症皮肤提取物注射液(神经妥乐平)治疗带状疱疹疼痛的疗效和安全性。方法:选择带状疱疹64例,随机分为观察组和对照组各32例。两组均口服维生素B120mg,甲钴胺500μg,每天3次;疱疹皮损处外用炉甘石洗剂。对照组采用伐昔洛韦胶囊治疗,每次0.3g,每天2次,连用7天。观察组在对照组基础上,增加神经妥乐平治疗,每次10.8U加入0.9%氯化钠注射液250ml静脉输注,每天1次,连用14天。采用视觉模拟评估法(VAS)评估疼痛改善情况及临床疗效等。结果:观察组VAS评分非常显著低于对照组(P<0.01)。观察组疼痛缓解效果显著优于对照组(P<0.05)。两组均未发生严重不良反应。结论:神经妥乐平能显著缓解疼痛,减少带状疱疹后遗神经痛的发生。
Objective: To observe the curative effect and safety of injecting vaccinia vaccination rabbit skin inflammation extract (neurotropin) in the treatment of herpes zoster pain. Methods: 64 cases of shingles were randomly divided into observation group and control group, 32 cases each. Both groups were oral vitamin B120mg, mecobalamin 500μg, 3 times a day; herpes lesions at the topical calamine lotion. The control group with valacyclovir capsules, each 0.3g, 2 times a day, once every 7 days. On the basis of the control group, the observation group was given neurotropin treatment. Each time, 10.8U was given 250ml intravenous infusion of 0.9% sodium chloride injection once a day for 14 days. Visual analogue assessment (VAS) was used to evaluate the pain improvement and clinical efficacy. Results: The VAS score of the observation group was significantly lower than that of the control group (P <0.01). The pain relief in observation group was significantly better than that in control group (P <0.05). No serious adverse reactions occurred in both groups. Conclusion: Neurotropin can significantly relieve pain and reduce the incidence of postherpetic neuralgia.