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目的探讨带状疱疹后遗肋间神经痛的治疗方法及疗效。方法对我科2006年6~7月24例带状疱疹后遗肋间神经痛患者,以利多卡因、甲钴铵、得宝松行椎旁神经阻滞2次,配合日本产SUPER LIZER HA-550红外偏振光治疗仪照射治疗10d,根据患者疼痛视觉模拟评分(VAS)、睡眠及口服止痛药物的改善情况对疗效进行观察分析。结果24例患者,总有效率达96%,其中显效率75%,有3例患者在椎旁神经阻滞时发生了一过性头晕,1例出现了红外偏振光的局部烫伤。结论椎旁神经阻滞联合红外偏振光治疗带状疱疹后遗神经痛,实施简易,不良反应少,疗效满意。
Objective To investigate the treatment and curative effect of intercostal neuralgia after shingles. Methods Twenty-four patients with intercostal neuralgia after herpes zoster from June to July in 2006 were treated with lidocaine, mecobalamin, and dextropopronate for 2 times. The patients were anesthetized with SUPER LIZER HA -550 infrared polarized light therapy instrument for 10 days. According to the pain visual analogue scale (VAS), the improvement of sleep and oral analgesic drugs, the curative effect was observed and analyzed. Results In 24 patients, the total effective rate was 96%, of which the effective rate was 75%. Three patients had transient dizziness when the paravertebral nerve block occurred and one case had partial scald of infrared polarized light. Conclusion The paravertebral nerve block combined with infrared polarized light in the treatment of postherpetic neuralgia has a simple implementation with few adverse reactions and satisfactory curative effect.