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目的观察布比卡因局部阻滞治疗带状疱疹的疗效,并与药物治疗相比较。方法选择带状疱疹患者60例,随机分成2组。治疗组30例,局部注射布比卡因镇痛复合液,头面部疱疹加用星状神经节阻滞治疗,臀部、双下肢疱疹加用骶管注药治疗;对照组为单纯药物抗病毒治疗。结果治疗组患者在3个疗程结束后,治愈18例(60.0%),有效11例(36.7%),无效1例(3.3%),治愈与有效者共29例(96.7%),在随访过程中有1例后遗神经痛。对照组治愈6例(20.0%),有效12例(40.0%),无效12例,后遗神经痛5例。结论布比卡因局部阻滞治疗带状疱疹能迅速减轻症状,疱疹结痂、疼痛减轻快,后遗神经痛少见。
Objective To observe the curative effect of bupivacaine local blockade on herpes zoster and to compare with drug treatment. Methods Sixty patients with shingles were randomly divided into two groups. The treatment group, 30 cases of local injection of bupivacaine analgesic complex liquid, head and face herpes plus stellate ganglion block treatment, buttocks, herpes lower extremities plus caudal injection; the control group was treated with antiviral drugs . Results In the treatment group, 18 cases (60.0%) were cured, 3 cases (36.7%) were cured, 1 case (3.3%) was ineffective and 29 cases (96.7%) were cured and effective after the 3 courses of treatment. 1 case of neuralgia after. The control group cured 6 cases (20.0%), effective in 12 cases (40.0%), ineffective in 12 cases, 5 cases of neuralgia. Conclusion Bupivacaine local blockade treatment of shingles can quickly reduce symptoms, herpes scab, pain relief, rare post-natal neuralgia.