论文部分内容阅读
目的:对比观察不同疗法对带状疱疹神经痛的临床疗效。方法:随机选取在我院就诊的胸部或背部带状疱疹伴急性期神经痛病人共90例,分成3组,即A组(30例)、B组(30例)和C组(30例),均给予常规抗病毒药物治疗,A组加用中药治疗,B组联合皮质激素治疗,C组联用肋间神经阻滞法治疗。根据VAS量表法,对比研究各组的临床效果及不良反应。结果:3组治疗后1周与治疗后3周的VAS得分均比治疗前有明显的下降,差异均具有统计学意义,P<0.05。而3组治疗后组间两两比较,除B组与C组外,差异有统计学意义,P<0.05。A组治疗总有效率为86.7%,虽低于其他两组的90%,但差异不具有统计学意义,P>0.05。结论:三种疗法对带状疱疹神经痛的疗效均比较满意,改善患者的神经痛较明显,值得临床推广。
Objective: To compare the clinical effects of different therapies on herpes zoster neuralgia. Methods: A total of 90 patients with thoracic or dorsal herpes zoster complicated with acute neuralgia were randomly selected in our hospital and divided into 3 groups: group A (30 cases), group B (30 cases) and group C (30 cases) , Were given routine antiviral therapy, A group plus traditional Chinese medicine treatment, B group combined with corticosteroids, C group with intercostal nerve block therapy. According to the VAS scale, the clinical effects and adverse reactions of each group were compared. Results: The VAS scores of 1 week after treatment and 3 weeks after treatment in both groups were significantly lower than those before treatment, the differences were statistically significant (P <0.05). The three groups after treatment compared with each other, except for B and C groups, the difference was statistically significant, P <0.05. The total effective rate of group A was 86.7%, which was lower than 90% of the other two groups, but the difference was not statistically significant (P> 0.05). Conclusion: The curative effects of the three therapies on herpes zoster neuralgia are satisfactory, and the improvement of neuralgia in patients is more obvious and worthy of clinical promotion.